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General NPI Number Information
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NPI Number | 1003575846
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Entity Type | Individual
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Provider Name | CHEYANNE RENE FLETCHER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 2881 BUSINESS PARK CT STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-9019
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Country | US
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Telephone | 702-510-4508
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Fax | 702-724-0522
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Provider Business Mailing Address
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Address Line | 2881 BUSINESS PARK CT STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89128-9019
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Country | US
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Telephone | 702-510-4508
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Fax | 702-724-0522
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 833978
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000028016
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License Number State | TN
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