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General NPI Number Information
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NPI Number | 1770370819
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Entity Type | Organization
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Legal Business Name | MICHELLE ARCILLA APRN PLLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 2665 SKYLARK TRAIL ST
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City | HENDERSON
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State | NV
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Zip | 89044-1869
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Country | US
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Telephone | 702-755-1147
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Fax | 855-314-9795
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Provider Business Mailing Address
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Address Line | 2665 SKYLARK TRAIL ST
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City | HENDERSON
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State | NV
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Zip | 89044-1869
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Country | US
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Telephone | 702-755-1147
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Fax | 855-314-9795
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE THIENGTHAM
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Credential | FNP-BC
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Telephone | 702-755-1147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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