MEDICARE: DANIJELA CAKOVIC- DOBRIJEVIC 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	822387	NV

General Provider Information

NPI Number	:	1417834912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIJELA CAKOVIC- DOBRIJEVIC NP

Provider Business Mailing Address
First Line	:	34 TIDWELL LN
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-3364
Country	:	US
Telephone Number	:	702-334-9798
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-5822
Country	:	US
Telephone Number	:	725-255-7865
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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