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NPI Code Detail

MEDICARE: LEONARD PAULO FNP-C

MEDICARE: LEONARD PAULO FNP-C
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 Practitioner829793NV

General Provider Information

NPI Number : 1396446381
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD PAULO FNP-C
Provider Business Mailing Address
First Line : 1820 E SAHARA AVE STE 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3721
Country : US
Telephone Number : 702-984-8875
Fax Number :
Provider Business Practice Location Address
First Line : 1820 E SAHARA AVE STE 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3721
Country : US
Telephone Number : 702-984-8875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2023
Last Update Date : 03/15/2023

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Directions to “ LEONARD PAULO FNP-C” Practice Location

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