Healthcare Provider Details

I. General information

NPI: 1861323636
Provider Name (Legal Business Name): JOAN E DUCAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 CABELA DR APT 1-105
VERDI NV
89439-8213
US

IV. Provider business mailing address

350 CABELA DR APT 1-105
VERDI NV
89439-8213
US

V. Phone/Fax

Practice location:
  • Phone: 858-705-7062
  • Fax:
Mailing address:
  • Phone: 858-705-7062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN45566
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: