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NPI Code Detail

MEDICARE: MADISON NICOLE GIL

MEDICARE:   MADISON NICOLE GIL
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1275146136
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON NICOLE GIL
Provider Business Mailing Address
First Line : 9416 SHELLFISH CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-0267
Country : US
Telephone Number : 702-498-7929
Fax Number :
Provider Business Practice Location Address
First Line : 4956 DRIFTING PEBBLE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3057
Country : US
Telephone Number : 702-763-0416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 08/28/2020

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Directions to “ MADISON NICOLE GIL ” Practice Location

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