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NPI Code Detail

MEDICARE: MRS. MELANIE BAINBRIDGE APRN

MEDICARE: MRS. MELANIE BAINBRIDGE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner814650NV
2363LP0200XPediatric Nurse Practitioner19683CA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner814650NV

General Provider Information

NPI Number : 1588633721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE BAINBRIDGE APRN
Provider Business Mailing Address
First Line : 4785 S DURANGO DR STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8167
Country : US
Telephone Number : 702-889-8444
Fax Number : 702-889-8454
Provider Business Practice Location Address
First Line : 4785 S DURANGO DR STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8167
Country : US
Telephone Number : 702-889-8444
Fax Number : 702-889-8454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 04/30/2024

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