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NPI Code Detail

MEDICARE: KARLI KWAS APRN

MEDICARE: KARLI KWAS 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
1363L00000XNurse Practitioner832089NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356753925
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLI KWAS APRN
Provider Business Mailing Address
First Line : PO BOX 2580
Second Line :
City : ELKO
State : NV
Zip : 89803-2580
Country : US
Telephone Number : 775-738-4158
Fax Number : 775-778-9501
Provider Business Practice Location Address
First Line : 119 E LONG ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-2505
Country : US
Telephone Number : 775-461-0025
Fax Number : 775-461-0512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2014
Last Update Date : 12/12/2025

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Directions to “ KARLI KWAS APRN” Practice Location

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