MEDICARE: DIANNE CYRKIEL M.S.N.,C.P.N.P.,R.N.

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	364SP0200X	Pediatric Clinical Nurse Specialist	APN000587	NV

General Provider Information

NPI Number	:	1083843049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE CYRKIEL M.S.N.,C.P.N.P.,R.N.

Provider Business Mailing Address
First Line	:	2121 E FLAMINGO RD
Second Line	:	#100
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5122
Country	:	US
Telephone Number	:	702-796-7000
Fax Number	:	702-796-9392

Provider Business Practice Location Address
First Line	:	2121 E FLAMINGO RD
Second Line	:	#100
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5122
Country	:	US
Telephone Number	:	702-796-7000
Fax Number	:	702-796-9392

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

Provider Enumeration Date	:	07/10/2009
Last Update Date	:	07/10/2009

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