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General NPI Number Information
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NPI Number | 1689233652
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Entity Type | Individual
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Provider Name | SIOBHAN ASSOON-BROADY DNP-PNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3201 S MARYLAND PKWY STE 608
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City | LAS VEGAS
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State | NV
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Zip | 89109-2428
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Country | US
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Telephone | 702-457-5437
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Fax | 702-464-5801
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Provider Business Mailing Address
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Address Line | 3201 S MARYLAND PKWY STE 608
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City | LAS VEGAS
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State | NV
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Zip | 89109-2428
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Country | US
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Telephone | 702-457-5437
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Fax | 702-464-5801
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN-CNP817771
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License Number State | NV
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