MEDICARE: MS. ANILA NAZ

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
1	3747P1801X	Personal Care Attendant		NV

General Provider Information

NPI Number	:	1033609599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANILA NAZ

Provider Business Mailing Address
First Line	:	3960 E. PATRICK LANE #202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120
Country	:	US
Telephone Number	:	702-855-3382
Fax Number	:

Provider Business Practice Location Address
First Line	:	1529 WATERTON DRIVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144
Country	:	US
Telephone Number	:	775-721-8099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	05/10/2018

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