MEDICARE: VERNA LEE PRESSER RN, CDE

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	171W00000X	Contractor	RN19994	NV

General Provider Information

NPI Number	:	1841576634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNA LEE PRESSER RN, CDE

Provider Business Mailing Address
First Line	:	560 GOLD NUGGET CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-5753
Country	:	US
Telephone Number	:	775-815-0836
Fax Number	:	775-982-6846

Provider Business Practice Location Address
First Line	:	560 GOLD NUGGET CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-5753
Country	:	US
Telephone Number	:	775-815-0836
Fax Number	:	775-982-6846

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

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	10/25/2011

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