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NPI Code Detail

MEDICARE: MRS. MARINA GORBACHINSKY ANP

MEDICARE: MRS. MARINA GORBACHINSKY ANP
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 PractitionerAPN000963NV

General Provider Information

NPI Number : 1386837482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARINA GORBACHINSKY ANP
Provider Business Mailing Address
First Line : 1400 GOLDENSPUR LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1377
Country : US
Telephone Number : 412-877-1786
Fax Number : 702-982-5148
Provider Business Practice Location Address
First Line : 4755 W ANN RD
Second Line : SUITE 400
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3424
Country : US
Telephone Number : 720-645-0332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2007
Last Update Date : 04/22/2014

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