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NPI Code Detail

MEDICARE: DELLENE HIGUERA RN

MEDICARE:   DELLENE  HIGUERA  RN
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
1163WH0200XHome Health Registered NurseRN77570NV

General Provider Information

NPI Number : 1871390757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELLENE HIGUERA RN
Provider Business Mailing Address
First Line : 5054 S FORT APACHE RD
Second Line : #245
City : LAS VEGAS
State : NV
Zip : 89148
Country : US
Telephone Number : 928-279-5693
Fax Number :
Provider Business Practice Location Address
First Line : 5054 S FORT APACHE RD
Second Line : #245
City : LAS VEGAS
State : NV
Zip : 89148
Country : US
Telephone Number : 928-279-5693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 02/27/2025

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