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NPI Code Detail

MEDICARE: DANIELLE BARISONE

MEDICARE:   DANIELLE  BARISONE
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
1363LG0600XGerontology Nurse PractitionerAPRN002290NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124471263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE BARISONE
Provider Business Mailing Address
First Line : 2345 E. PRATER WAY
Second Line : SUITE 207
City : SPARKS
State : NV
Zip : 89436
Country : US
Telephone Number : 775-356-4067
Fax Number : 775-356-5590
Provider Business Practice Location Address
First Line : 5070 ION DR
Second Line : SUITE 200
City : SPARKS
State : NV
Zip : 89436-1612
Country : US
Telephone Number : 775-352-5335
Fax Number : 775-352-5334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2016
Last Update Date : 09/25/2017

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Directions to “ DANIELLE BARISONE ” Practice Location

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