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NPI Code Detail

MEDICARE: KEVIN J ZHAGUI APRN

MEDICARE:   KEVIN J ZHAGUI  APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner838464NV

General Provider Information

NPI Number : 1447055173
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN J ZHAGUI APRN
Provider Business Mailing Address
First Line : 4505 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89154-9900
Country : US
Telephone Number : 702-608-0608
Fax Number :
Provider Business Practice Location Address
First Line : 5536 S FORT APACHE RD STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7687
Country : US
Telephone Number : 702-915-7001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 05/20/2025

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