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NPI Code Detail

MEDICARE: MELANNIE MARTINEZ SIFUENTES

MEDICARE:   MELANNIE  MARTINEZ SIFUENTES
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1417527763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANNIE MARTINEZ SIFUENTES
Provider Business Mailing Address
First Line : 3145 E WARM SPRINGS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3145 E WARM SPRINGS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3140
Country : US
Telephone Number : 702-808-8141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 02/16/2025

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Directions to “ MELANNIE MARTINEZ SIFUENTES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.