MEDICARE: NADINE LEONE MFT

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	106H00000X	Marriage & Family Therapist	0512	NV

General Provider Information

NPI Number	:	1578589743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE LEONE MFT

Provider Business Mailing Address
First Line	:	8414 W FARM RD
Second Line	:	SUITE 180, PMB 513
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8170
Country	:	US
Telephone Number	:	702-648-2945
Fax Number	:	702-836-0861

Provider Business Practice Location Address
First Line	:	2421 TECH CENTER CT
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0804
Country	:	US
Telephone Number	:	702-648-2945
Fax Number	:	702-836-0861

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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Directions to “ NADINE LEONE MFT” Practice Location

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