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NPI Code Detail

MEDICARE: MICHAEL BATTLE III RN

MEDICARE: MICHAEL BATTLE III RN
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
1163WM0705XMedical-Surgical Registered Nurse861312NV

General Provider Information

NPI Number : 1477436228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BATTLE III RN
Provider Business Mailing Address
First Line : 82 CASCADE RIVER ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2775
Country : US
Telephone Number : 909-330-9047
Fax Number :
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 725-200-0906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2025
Last Update Date : 07/29/2025

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