MEDICARE: MEREDITH E NOCE M.A.

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1629360482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH E NOCE M.A.

Provider Business Mailing Address
First Line	:	3132 EL CAMINO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6622
Country	:	US
Telephone Number	:	702-808-9085
Fax Number	:

Provider Business Practice Location Address
First Line	:	3047 E WARM SPRINGS RD
Second Line	:	BUILDING 2, SUITE #400
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3760
Country	:	US
Telephone Number	:	702-808-9085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/11/2011

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