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NPI Code Detail

MEDICARE: JOSEFINA ANDRES ASCANO APNC

MEDICARE: JOSEFINA ANDRES ASCANO APNC
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 PractitionerAPN001437NV

General Provider Information

NPI Number : 1083967533
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEFINA ANDRES ASCANO APNC
Provider Business Mailing Address
First Line : 1200 S 4TH ST
Second Line : STE 111
City : LAS VEGAS
State : NV
Zip : 89104-1046
Country : US
Telephone Number : 702-575-0866
Fax Number : 702-380-2929
Provider Business Practice Location Address
First Line : 1825 CIVIC CENTER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7113
Country : US
Telephone Number : 702-642-8313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2012
Last Update Date : 09/18/2020

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Directions to “ JOSEFINA ANDRES ASCANO APNC” Practice Location

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