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NPI Code Detail

MEDICARE: REBECCA R CAILOR APN

MEDICARE:   REBECCA R CAILOR  APN
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 PractitionerAPN000673NV

General Provider Information

NPI Number : 1235381146
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA R CAILOR APN
Provider Business Mailing Address
First Line : PO BOX 530010
Second Line :
City : HENDERSON
State : NV
Zip : 89053-0010
Country : US
Telephone Number : 702-361-2273
Fax Number : 702-361-2273
Provider Business Practice Location Address
First Line : 9975 S EASTERN AVENUE
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89183-7950
Country : US
Telephone Number : 702-361-2273
Fax Number : 702-361-6885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2008
Last Update Date : 01/07/2009

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Directions to “ REBECCA R CAILOR APN” Practice Location

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