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General NPI Number Information
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NPI Number | 1316272388
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Entity Type | Individual
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Provider Name | ANDRE LESTINA DOUGLAS FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1825 E WARM SPRINGS RD
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City | LAS VEGAS
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State | NV
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Zip | 89119-4547
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Country | US
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Telephone | 401-652-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 E WARM SPRINGS RD
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City | LAS VEGAS
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State | NV
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Zip | 89119-4547
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95020386
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 847667
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024168512
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 265580
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License Number State | AZ
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