MEDICARE: HANA LEIGH SWARTZENTRUBER 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
1	163W00000X	Registered Nurse	74441	NV
2	363LA2100X	Acute Care Nurse Practitioner	835276	NV

General Provider Information

NPI Number	:	1891393567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANA LEIGH SWARTZENTRUBER APRN

Provider Business Mailing Address
First Line	:	10448 CAMP ROCK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-4039
Country	:	US
Telephone Number	:	702-748-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	10448 CAMP ROCK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-4039
Country	:	US
Telephone Number	:	702-748-3915
Fax Number	:

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

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	12/30/2020

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Directions to “ HANA LEIGH SWARTZENTRUBER APRN” Practice Location

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