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NPI Code Detail

MEDICARE: OLIVIA ESPINOZA

MEDICARE: OLIVIA ESPINOZA
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
1172V00000XCommunity Health WorkerCHW1-6187NV

General Provider Information

NPI Number : 1700728250
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA ESPINOZA
Provider Business Mailing Address
First Line : 458 EAGLE GLEN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5292
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6565 SPENCER ST STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3924
Country : US
Telephone Number : 725-275-6970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ OLIVIA ESPINOZA ” Practice Location

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