MEDICARE: JOHN RICHARD CHAMBERS ARPN, CNP

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	363L00000X	Nurse Practitioner	811669	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1134921356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN RICHARD CHAMBERS ARPN, CNP

Provider Business Mailing Address
First Line	:	10624 S EASTERN AVE # A-955
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2982
Country	:	US
Telephone Number	:	702-407-7700
Fax Number	:	702-407-7016

Provider Business Practice Location Address
First Line	:	10624 S EASTERN AVE # A-955
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2982
Country	:	US
Telephone Number	:	702-407-7700
Fax Number	:	702-407-7016

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

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	12/15/2025

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