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NPI Code Detail

MEDICARE: ALEAH RED HORSE

MEDICARE: ALEAH RED HORSE
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
1363L00000XNurse Practitioner846454NV

General Provider Information

NPI Number : 1215695556
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEAH RED HORSE
Provider Business Mailing Address
First Line : 912 LEXINGTON CROSS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-1309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8410 RAFAEL RIVERA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-5391
Country : US
Telephone Number : 702-605-5030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2021
Last Update Date : 12/19/2024

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Directions to “ ALEAH RED HORSE ” Practice Location

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