MEDICARE: ARUKSHA PATEL FDNP

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1194481101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUKSHA PATEL FDNP

Provider Business Mailing Address
First Line	:	11479 MORNING GROVE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1530
Country	:	US
Telephone Number	:	678-956-9238
Fax Number	:

Provider Business Practice Location Address
First Line	:	11479 MORNING GROVE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1530
Country	:	US
Telephone Number	:	678-956-9238
Fax Number	:

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

Provider Enumeration Date	:	11/14/2021
Last Update Date	:	11/14/2021

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