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NPI Code Detail

MEDICARE: MS. SAKUNA HENPRATANEE APRN

MEDICARE: MS. SAKUNA HENPRATANEE 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
1363LF0000XFamily Nurse PractitionerAPRN001603NV

General Provider Information

NPI Number : 1356767057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SAKUNA HENPRATANEE APRN
Provider Business Mailing Address
First Line : 7477 W LAKE MEAD BLVD
Second Line : SUITE 260
City : LAS VEGAS
State : NV
Zip : 89128-1028
Country : US
Telephone Number : 702-380-8300
Fax Number : 702-380-8302
Provider Business Practice Location Address
First Line : 7477 W LAKE MEAD BLVD
Second Line : SUITE 260
City : LAS VEGAS
State : NV
Zip : 89128-1028
Country : US
Telephone Number : 702-380-8300
Fax Number : 702-380-8302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2014
Last Update Date : 03/05/2014

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