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General NPI Number Information
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NPI Number | 1669277513
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Entity Type | Individual
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Provider Name | KRISTA CHANTAL NELSON FNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1900 N NELLIS BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89115-6743
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Country | US
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Telephone | 702-227-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 SIERRA OAKS LN
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City | LAS VEGAS
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State | NV
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Zip | 89134-6628
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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 |
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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 | 887031
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License Number State | NV
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