MEDICARE: ROSEMARIE MALCAMPO DIAMOS APRN-FNP-C

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	363LF0000X	Family Nurse Practitioner	870364	NV

General Provider Information

NPI Number	:	1346020252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE MALCAMPO DIAMOS APRN-FNP-C

Provider Business Mailing Address
First Line	:	9833 LAKE AUSTIN CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4758
Country	:	US
Telephone Number	:	702-335-1642
Fax Number	:

Provider Business Practice Location Address
First Line	:	9833 LAKE AUSTIN CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4758
Country	:	US
Telephone Number	:	702-335-1642
Fax Number	:

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

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

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Directions to “ ROSEMARIE MALCAMPO DIAMOS APRN-FNP-C” Practice Location

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