MEDICARE: NICOLE NAPOLITANO RPSGT

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	156F00000X	Technician/Technologist	14631

General Provider Information

NPI Number	:	1457002289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE NAPOLITANO RPSGT

Provider Business Mailing Address
First Line	:	2839 SAINT ROSE PKWY STE 160
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4849
Country	:	US
Telephone Number	:	702-333-7270
Fax Number	:	702-492-1978

Provider Business Practice Location Address
First Line	:	2839 SAINT ROSE PKWY STE 160
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4849
Country	:	US
Telephone Number	:	702-333-7270
Fax Number	:	702-492-1978

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

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/13/2022

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