MEDICARE: MRS. EMILY FRANCO MARTIN NP

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	814389	NV

General Provider Information

NPI Number	:	1417692922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY FRANCO MARTIN NP

Provider Business Mailing Address
First Line	:	3087 E WARM SPRINGS RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3754
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:	702-463-1011

Provider Business Practice Location Address
First Line	:	3087 E WARM SPRINGS RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3754
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:	702-659-9090

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

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	06/28/2023

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