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General NPI Number Information
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NPI Number | 1568326767
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Entity Type | Individual
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Provider Name | MARLYCE ELIZABETH MCKINNON FNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1575 DELUCCHI LN
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City | RENO
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State | NV
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Zip | 89502-6578
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Country | US
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Telephone | 775-827-2298
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Fax | 775-824-3860
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Provider Business Mailing Address
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Address Line | 1575 DELUCCHI LN STE 214
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City | RENO
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State | NV
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Zip | 89502-8521
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Country | US
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Telephone | 775-827-2298
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Fax | 775-824-3860
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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 | 810621
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License Number State | NV
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