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General NPI Number Information
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NPI Number | 1992360598
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Entity Type | Individual
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Provider Name | KRISTINE JENNIFER NAVAL ANDRES APRN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1601 E FLAMINGO RD STE E18
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City | LAS VEGAS
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State | NV
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Zip | 89119-5244
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Country | US
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Telephone | 702-958-0996
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Fax | 702-965-2216
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Provider Business Mailing Address
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Address Line | 8061 BOSCO BAY AVE
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City | LAS VEGAS
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State | NV
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Zip | 89113-6635
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Country | US
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Telephone | 702-606-3731
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 819061
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License Number State | NV
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