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General NPI Number Information
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NPI Number | 1366234973
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Entity Type | Individual
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Provider Name | CHEYENNE KIRA PENA RN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1500 AVENUE H
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City | ELY
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State | NV
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Zip | 89301-2615
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Country | US
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Telephone | 775-289-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 860 AVENUE K
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City | ELY
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State | NV
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Zip | 89301-2711
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Country | US
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Telephone | 775-685-3568
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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 | 843395
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 843395
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License Number State | NV
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