MEDICARE: MR. FRANCIS JULIAN PINEDA FNP-C, APRN, RN

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	363LF0000X	Family Nurse Practitioner	831019	NV

General Provider Information

NPI Number	:	1215549332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCIS JULIAN PINEDA FNP-C, APRN, RN

Provider Business Mailing Address
First Line	:	10167 TURRET PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2103
Country	:	US
Telephone Number	:	702-285-5269
Fax Number	:

Provider Business Practice Location Address
First Line	:	10167 TURRET PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2103
Country	:	US
Telephone Number	:	702-285-5269
Fax Number	:

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

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	08/19/2020

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