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NPI Code Detail

MEDICARE: BAYINK-RAINE FREDERICK FALTER DNP, NPC

MEDICARE: BAYINK-RAINE FREDERICK FALTER DNP, NPC
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
1207Q00000XFamily Medicine Physician836624NV
22083P0901XPublic Health & General Preventive Medicine Physician836624NV
3208600000XSurgery Physician836624NV
4208VP0000XPain Medicine Physician836624NV
5363LF0000XFamily Nurse Practitioner836624NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F11200626OTHERAANP
2CS32694OTHERNVBOARD OF PHARMACY
3836624OTHERNVAPRN

General Provider Information

NPI Number : 1295325785
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAYINK-RAINE FREDERICK FALTER DNP, NPC
Provider Business Mailing Address
First Line : 2831 GEARY PL UNIT 2918
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-0272
Country : US
Telephone Number : 775-513-3852
Fax Number :
Provider Business Practice Location Address
First Line : 2831 GEARY PL UNIT 2918
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-0272
Country : US
Telephone Number : 775-513-3852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2021
Last Update Date : 08/31/2024

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Directions to “ BAYINK-RAINE FREDERICK FALTER DNP, NPC” Practice Location

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