MEDICARE: MICHELLE LESLIE ALBARAN

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	APRN002863	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1376030619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LESLIE ALBARAN

Provider Business Mailing Address
First Line	:	6276 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3242
Country	:	US
Telephone Number	:	702-921-6823
Fax Number	:

Provider Business Practice Location Address
First Line	:	6276 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3242
Country	:	US
Telephone Number	:	702-921-6823
Fax Number	:

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

Provider Enumeration Date	:	04/20/2018
Last Update Date	:	03/23/2021

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Directions to “ MICHELLE LESLIE ALBARAN ” Practice Location

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