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NPI Code Detail

MEDICARE: CARA ROSE FRATIANNI NP

MEDICARE:   CARA ROSE FRATIANNI  NP
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
1363L00000XNurse Practitioner95015395CA
2363L00000XNurse Practitioner835172NV

General Provider Information

NPI Number : 1982293320
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA ROSE FRATIANNI NP
Provider Business Mailing Address
First Line : 4755 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3424
Country : US
Telephone Number : 702-645-1360
Fax Number :
Provider Business Practice Location Address
First Line : 4755 W ANN RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3424
Country : US
Telephone Number : 702-645-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2021
Last Update Date : 01/18/2021

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Directions to “ CARA ROSE FRATIANNI NP” Practice Location

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