MEDICARE: MRS. MARICELA CHRISTINE HARFORD 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
1	163W00000X	Registered Nurse	RN59552	NV
2	363LF0000X	Family Nurse Practitioner	844877	NV

General Provider Information

NPI Number	:	1316516321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARICELA CHRISTINE HARFORD APRN

Provider Business Mailing Address
First Line	:	217 VALARE ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4847
Country	:	US
Telephone Number	:	702-354-8388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 W HORIZON RIDGE PKWY STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2731
Country	:	US
Telephone Number	:	800-640-3451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2021
Last Update Date	:	10/11/2024

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