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NPI Code Detail

MEDICARE: GLADYS PASCUAL DOLOR APRN

MEDICARE:   GLADYS PASCUAL DOLOR  APRN
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 Practitioner843213NV

General Provider Information

NPI Number : 1285207043
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADYS PASCUAL DOLOR APRN
Provider Business Mailing Address
First Line : 4425 SMOKERIDGE DR
Second Line :
City : RENO
State : NV
Zip : 89523-9172
Country : US
Telephone Number : 775-554-4523
Fax Number :
Provider Business Practice Location Address
First Line : 1535 MEDICAL PKWY
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-4654
Country : US
Telephone Number : 775-445-7500
Fax Number : 775-883-3395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2021
Last Update Date : 07/20/2021

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Directions to “ GLADYS PASCUAL DOLOR APRN” Practice Location

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