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NPI Code Detail

MEDICARE: JOAN ACHONDO MSN, AGACNP-BC

MEDICARE:   JOAN  ACHONDO  MSN, AGACNP-BC
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
1363LA2100XAcute Care Nurse PractitionerTEMP868155NV

General Provider Information

NPI Number : 1487338638
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN ACHONDO MSN, AGACNP-BC
Provider Business Mailing Address
First Line : 5195 DUBRIS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2131
Country : US
Telephone Number : 951-525-0049
Fax Number :
Provider Business Practice Location Address
First Line : 5195 DUBRIS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2131
Country : US
Telephone Number : 951-525-0049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2023
Last Update Date : 06/09/2023

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Directions to “ JOAN ACHONDO MSN, AGACNP-BC” Practice Location

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