MEDICARE: MRS. AMY MARIE FOSS MSN, APRN, FNP-C

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	163W00000X	Registered Nurse	RN68173	NV
2	363LF0000X	Family Nurse Practitioner	828345	NV

General Provider Information

NPI Number	:	1477191484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY MARIE FOSS MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	8025 AMIGO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1210
Country	:	US
Telephone Number	:	702-380-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8025 AMIGO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1210
Country	:	US
Telephone Number	:	702-380-8300
Fax Number	:

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

Provider Enumeration Date	:	12/20/2019
Last Update Date	:	06/06/2025

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