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NPI Code Detail

MEDICARE: MISS ANGELA J MCLENDON FNP-C

MEDICARE:  MISS ANGELA J MCLENDON  FNP-C
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
1363LF0000XFamily Nurse Practitioner862419NV

General Provider Information

NPI Number : 1790498558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANGELA J MCLENDON FNP-C
Provider Business Mailing Address
First Line : 3535 EXECUTIVE TERMINAL DR STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4269
Country : US
Telephone Number : 702-618-7255
Fax Number : 702-618-7256
Provider Business Practice Location Address
First Line : 3535 EXECUTIVE TERMINAL DR STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4269
Country : US
Telephone Number : 702-618-7255
Fax Number : 702-618-7256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2022
Last Update Date : 09/26/2024

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Directions to “ MISS ANGELA J MCLENDON FNP-C” Practice Location

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