MEDICARE: CECILIA NICOLE DUARTE

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	843203	NV

General Provider Information

NPI Number	:	1356278568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA NICOLE DUARTE

Provider Business Mailing Address
First Line	:	4116 ANTIQUE STERLING CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-3658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7345 S DURANGO DR STE 111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3608
Country	:	US
Telephone Number	:	702-463-1400
Fax Number	:	702-992-3181

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/13/2026

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Directions to “ CECILIA NICOLE DUARTE ” Practice Location

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