MEDICARE: VALERIYA LERA KERUNETZ

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	163WC0200X	Critical Care Medicine Registered Nurse	861825	NV
2	163W00000X	Registered Nurse	95359620	CA
3	390200000X	Student in an Organized Health Care Education/Training Program	861825	NV

General Provider Information

NPI Number	:	1992634950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIYA LERA KERUNETZ

Provider Business Mailing Address
First Line	:	6806 DENTON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1460
Country	:	US
Telephone Number	:	562-445-5868
Fax Number	:

Provider Business Practice Location Address
First Line	:	6806 DENTON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1460
Country	:	US
Telephone Number	:	562-445-5868
Fax Number	:

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

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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Directions to “ VALERIYA LERA KERUNETZ ” Practice Location

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