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General NPI Number Information
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NPI Number | 1902384472
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Entity Type | Individual
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Provider Name | NIKESHA MOBLEY DNP, APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 1070 W HORIZON RIDGE PKWY STE 111
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City | HENDERSON
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State | NV
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Zip | 89012-6019
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Country | US
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Telephone | 702-336-0843
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 VIA MONET
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City | HENDERSON
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State | NV
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Zip | 89044-1730
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Country | US
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Telephone | 773-814-2440
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 812428
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License Number State | NV
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