MEDICARE: DAWN PARNELLO 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	881670	NV
2	2084P0800X	Psychiatry Physician	2024059237	NV

General Provider Information

NPI Number	:	1376372524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN PARNELLO APRN

Provider Business Mailing Address
First Line	:	2905 LAKE EAST DR STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2384
Country	:	US
Telephone Number	:	725-577-5055
Fax Number	:	702-405-8700

Provider Business Practice Location Address
First Line	:	2905 LAKE EAST DR STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2384
Country	:	US
Telephone Number	:	725-577-5055
Fax Number	:	702-405-8700

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

Provider Enumeration Date	:	07/27/2024
Last Update Date	:	09/15/2025

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