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NPI Code Detail

MEDICARE: NILDA A BADUA APRN

MEDICARE: NILDA A BADUA 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
1163W00000XRegistered NurseRN43410NV
2363LF0000XFamily Nurse PractitionerAPRN001512NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821363854
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILDA A BADUA APRN
Provider Business Mailing Address
First Line : 8936 SPANISH RIDGE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1354
Country : US
Telephone Number : 702-998-2816
Fax Number : 702-998-2991
Provider Business Practice Location Address
First Line : 3343 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3312
Country : US
Telephone Number : 702-731-0909
Fax Number : 702-731-1020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2012
Last Update Date : 10/11/2019

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Directions to “ NILDA A BADUA APRN” Practice Location

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