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General NPI Number Information
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NPI Number | 1700302445
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Entity Type | Individual
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Provider Name | ROSETTE SANDRINE MAKON AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3830 E FLAMINGO RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89121-6234
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Country | US
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Telephone | 725-269-1044
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Fax | 725-712-8163
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 888-987-1151
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AG08170019
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 811435
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 811435
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License Number State | NV
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