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NPI Code Detail

MEDICARE: RICHARD LUNA TALUSAN NP

MEDICARE: RICHARD LUNA TALUSAN NP
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 PractitionerNV000766NV

General Provider Information

NPI Number : 1104883651
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD LUNA TALUSAN NP
Provider Business Mailing Address
First Line : 7235 S BUFFALO DR
Second Line : VA SOUTHWEST PRIMARY CARE CLINIC
City : LAS VEGAS
State : NV
Zip : 89113-4040
Country : US
Telephone Number : 702-791-9040
Fax Number : 702-365-3093
Provider Business Practice Location Address
First Line : 7235 S BUFFALO DR
Second Line : VA SOUTHWEST PRIMARY CARE CLINIC
City : LAS VEGAS
State : NV
Zip : 89113-4040
Country : US
Telephone Number : 702-791-9040
Fax Number : 702-365-3093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 05/31/2013

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