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General NPI Number Information
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NPI Number | 1750897963
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Entity Type | Organization
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Legal Business Name | SIERRA NEVADA HOLISTIC SERVICES, LLC.
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 407 W ROBINSON ST
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City | CARSON CITY
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State | NV
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Zip | 89703-3965
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Country | US
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Telephone | 775-720-2563
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Fax | 775-884-4986
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Provider Business Mailing Address
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Address Line | 407 W ROBINSON ST
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City | CARSON CITY
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State | NV
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Zip | 89703-3965
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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 | OWNER/NURSE PRACTITIONER
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Name | ANDREA FELESINA
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Credential | APRN
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Telephone | 775-720-2563
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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 | APRN002262
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License Number State | NV
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