MEDICARE: FRANCIS NKRUMAH CPC INTERN

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	101YP2500X	Professional Counselor	CP6136	NV

General Provider Information

NPI Number	:	1083312276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS NKRUMAH CPC INTERN

Provider Business Mailing Address
First Line	:	1980 FESTIVAL PLAZA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2927
Country	:	US
Telephone Number	:	323-205-7088
Fax Number	:	833-419-0181

Provider Business Practice Location Address
First Line	:	1980 FESTIVAL PLAZA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2927
Country	:	US
Telephone Number	:	323-205-7088
Fax Number	:	833-419-0181

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

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	10/15/2025

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