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NPI Code Detail

MEDICARE: MORNING STAR URGENT CARE LLC

MEDICARE: MORNING STAR URGENT CARE LLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1295582757
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORNING STAR URGENT CARE LLC
Provider Business Mailing Address
First Line : 247 BLUFFS AVE STE 102
Second Line :
City : ELKO
State : NV
Zip : 89801-2488
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 247 BLUFFS AVE STE 102
Second Line :
City : ELKO
State : NV
Zip : 89801-2488
Country : US
Telephone Number : 530-320-6519
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : MELISSA KNOX
Credential :
Telephone Number : 530-320-6519
Provider Enumeration Date : 05/02/2024
Last Update Date : 05/02/2024

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Directions to “MORNING STAR URGENT CARE LLC ” Practice Location

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