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NPI Code Detail

MEDICARE: MR. ALVIN PANGILINAN FLORES NURSE PRACTITIONER

MEDICARE: MR. ALVIN PANGILINAN FLORES NURSE PRACTITIONER
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 Practitioner878533NV

General Provider Information

NPI Number : 1366275711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALVIN PANGILINAN FLORES NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 5730 RANGE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-1927
Country : US
Telephone Number : 702-668-4785
Fax Number :
Provider Business Practice Location Address
First Line : 1825 CIVIC CENTER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7113
Country : US
Telephone Number : 702-642-8313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2024
Last Update Date : 08/21/2024

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