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General NPI Number Information
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NPI Number | 1912233446
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Entity Type | Individual
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Provider Name | MICHELLE KATHLYNE CUEVAS DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2009
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 41750 RANCHO LAS PALMAS DR STE M3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-5511
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Country | US
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Telephone | 760-895-4292
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Fax |
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Provider Business Mailing Address
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Address Line | 40960 CALIFORNIA OAKS RD # 264
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City | MURRIETA
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State | CA
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Zip | 92562-5747
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Country | US
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Telephone | 951-290-2936
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 21868
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21868
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License Number State | CA
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