MEDICARE: JULIANA ALEGRE PALIJO 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
1	363LF0000X	Family Nurse Practitioner	001471	NV
2	363LP0200X	Pediatric Nurse Practitioner	001471	NV
3	363LP0200X	Pediatric Nurse Practitioner	APRN001471	NV
4	363LF0000X	Family Nurse Practitioner	APN001471	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487995965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANA ALEGRE PALIJO APRN

Provider Business Mailing Address
First Line	:	3100 W CHARLESTON BLVD
Second Line	:	SUITE 210
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2023
Country	:	US
Telephone Number	:	702-388-4428
Fax Number	:	702-388-4312

Provider Business Practice Location Address
First Line	:	3312 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1829
Country	:	US
Telephone Number	:	702-971-2300
Fax Number	:	702-903-4447

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

Provider Enumeration Date	:	03/08/2013
Last Update Date	:	07/21/2020

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