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General NPI Number Information
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NPI Number | 1174419725
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Entity Type | Individual
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Provider Name | DAISY MEDRANO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1993 ERRECART BLVD
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City | ELKO
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State | NV
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Zip | 89801-8334
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Country | US
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Telephone | 775-753-1049
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Fax |
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Provider Business Mailing Address
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Address Line | 574 S 4TH ST
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City | ELKO
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State | NV
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Zip | 89801-4107
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Country | US
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Telephone | 775-934-3804
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Fax |
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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 | 821056
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License Number State | NV
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