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NPI Code Detail

MEDICARE: GERLIE COMAHIG RN

MEDICARE: GERLIE COMAHIG 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
1163WC0400XCase Management Registered NurseRN6924NV

General Provider Information

NPI Number : 1235658592
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERLIE COMAHIG RN
Provider Business Mailing Address
First Line : 3305 SPRING MOUNTAIN RD STE 61
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8624
Country : US
Telephone Number : 702-478-9934
Fax Number :
Provider Business Practice Location Address
First Line : 3305 SPRING MOUNTAIN RD STE 61
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8624
Country : US
Telephone Number : 702-478-9934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 07/21/2022

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