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General NPI Number Information
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NPI Number | 1558074831
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Entity Type | Organization
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Legal Business Name | QUADRA HEALTH LLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2820 ARAGON TERRACE WAY
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City | HENDERSON
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State | NV
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Zip | 89044-1686
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Country | US
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Telephone | 385-707-7175
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 ARAGON TERRACE WAY
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City | HENDERSON
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State | NV
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Zip | 89044-1686
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Country | US
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Telephone | 702-561-2586
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Fax | 702-940-4063
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Authorized Official
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Title or Position | CEO
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Name | DR. KERRY COLLEEN PALAKANIS
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Credential | FNP
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Telephone | 702-561-2586
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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 |
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License Number State |
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