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NPI Code Detail

MEDICARE: DANTE FABIAN FAMY APN

MEDICARE: DANTE FABIAN FAMY APN
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
1363LF0000XFamily Nurse PractitionerAPRN1107NV
2363L00000XNurse PractitionerAPN001107NV

General Provider Information

NPI Number : 1053545582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANTE FABIAN FAMY APN
Provider Business Mailing Address
First Line : 9313 EAGLE RIDGE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6345
Country : US
Telephone Number : 702-326-0068
Fax Number :
Provider Business Practice Location Address
First Line : 7235 S BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4040
Country : US
Telephone Number : 702-791-9040
Fax Number : 702-365-3094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2009
Last Update Date : 07/11/2024

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Directions to “ DANTE FABIAN FAMY APN” Practice Location

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