MEDICARE: MALIKA COPPEDGE 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	363L00000X	Nurse Practitioner	APRN001769	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APRN001769	OTHER	NV	NV APRN LICENSE

General Provider Information

NPI Number	:	1538557467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALIKA COPPEDGE APRN

Provider Business Mailing Address
First Line	:	2255 RENAISSANCE DR
Second Line	:	STE C
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6751
Country	:	US
Telephone Number	:	702-876-0350
Fax Number	:	702-876-1090

Provider Business Practice Location Address
First Line	:	2255 RENAISSANCE DR
Second Line	:	STE C
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6751
Country	:	US
Telephone Number	:	702-876-0350
Fax Number	:	702-876-1090

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

Provider Enumeration Date	:	12/30/2014
Last Update Date	:	03/11/2020

Similar Medicare Providers

1154439677 — LAMBERT R ABEYATUNGE MD
Practice Location Address:

2255C RENAISSANCE DR
LAS VEGAS, NV
89119-6751

Practice Phone: 702-735-1202
Practice Fax: 702-735-1996

1861500399 — LAMBERT R ABEYATUNGE MD FACS PROFESSIONAL CORPORATION
Practice Location Address:

2255C RENAISSANCE DR
LAS VEGAS, NV
89119-6751

Practice Phone: 702-735-1202
Practice Fax: 702-735-1996

1366841108 — BRIAN KNAPP MFT-INTERN
Practice Location Address:

2255 RENAISSANCE DR STE C
LAS VEGAS, NV
89119-6751

Practice Phone: 702-901-4880
Practice Fax:

1033617824 — MGG AND GROUPS
Practice Location Address:

2255 RENAISSANCE DR STE C
LAS VEGAS, NV
89119-6751

Practice Phone: 702-434-5114
Practice Fax:

1306585831 — LAQUEL PRESSLEY
Practice Location Address:

2255 RENAISSANCE DR STE C
LAS VEGAS, NV
89119-6751

Practice Phone: 702-901-4880
Practice Fax:

1093527632 — KRISTINA GRAHAM APRN-CNP
Practice Location Address:

2255 RENAISSANCE DR STE C
LAS VEGAS, NV
89119-6751

Practice Phone: 702-901-4880
Practice Fax: 702-434-3530

Directions to “ MALIKA COPPEDGE APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.