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NPI Code Detail

MEDICARE: ERICA PAYTON

MEDICARE: ERICA PAYTON
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
1101Y00000XCounselor
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1225391675
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA PAYTON
Provider Business Mailing Address
First Line : 1750 MARION DR # D
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3638
Country : US
Telephone Number : 702-713-4594
Fax Number :
Provider Business Practice Location Address
First Line : 1701 N GREEN VALLEY PKWY STE 9A
Second Line :
City : HENDERSON
State : NV
Zip : 89074-5991
Country : US
Telephone Number : 702-407-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 08/12/2020

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Directions to “ ERICA PAYTON ” Practice Location

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