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NPI Code Detail

MEDICARE: NASSLYNNE LENZ APRN, AGPCNP-BC

MEDICARE: NASSLYNNE LENZ APRN, AGPCNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner811550NV
2363LG0600XGerontology Nurse Practitioner811550NV
3363L00000XNurse Practitioner811550NV

General Provider Information

NPI Number : 1023596186
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASSLYNNE LENZ APRN, AGPCNP-BC
Provider Business Mailing Address
First Line : 196 GANNETT PEAK ST
Second Line :
City : HENDERSON
State : NV
Zip : 89012-5664
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6460 MEDICAL CENTER ST STE 350
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2423
Country : US
Telephone Number : 702-255-6647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 04/26/2021

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