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General NPI Number Information
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NPI Number | 1487450581
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Entity Type | Organization
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Legal Business Name | NURSEFULLY INC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 11914 TRES BISPOS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-3025
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Country | US
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Telephone | 917-796-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 254 CHAPMAN RD STE 209
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City | NEWARK
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State | DE
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Zip | 19702-5422
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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 | CO-FOUNDER, CEO
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Name | KIMBERLY CHOW
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Credential | DNP, NP, RN
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Telephone | 917-796-1902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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