MEDICARE: SETARE TAABODI-WILKOFF DNP, APRN, FNP-BC

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	842496	NV

General Provider Information

NPI Number	:	1346917655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETARE TAABODI-WILKOFF DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	5150 MAE ANNE AVE STE 405
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-1859
Country	:	US
Telephone Number	:	775-442-4075
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 MAE ANNE AVE STE 405
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-1859
Country	:	US
Telephone Number	:	775-442-4075
Fax Number	:

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

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	06/03/2023

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