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General NPI Number Information
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NPI Number | 1346111861
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Entity Type | Individual
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Provider Name | LETZARY NATALIE LEE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 4180 S FORT APACHE RD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89147-8801
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Country | US
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Telephone | 949-302-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 394 PRAIRIE SUN ST
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City | LAS VEGAS
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State | NV
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Zip | 89138-4713
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Country | US
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Telephone | 949-302-0212
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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 | 877798
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License Number State | NV
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