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General NPI Number Information
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NPI Number | 1912519471
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Entity Type | Individual
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Provider Name | NICOLE GREGORIO MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 8687 W SAHARA AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-5868
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Country | US
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Telephone | 702-830-9588
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Fax |
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Provider Business Mailing Address
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Address Line | 8687 W SAHARA AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-5868
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Country | US
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Telephone | 702-300-5575
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 832739
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 832739
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License Number State | NV
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