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NPI Code Detail

MEDICARE: GERLIE MESEROLE

MEDICARE:   GERLIE  MESEROLE
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
1363LF0000XFamily Nurse Practitioner873783NV

General Provider Information

NPI Number : 1609637255
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERLIE MESEROLE
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2329
Country : US
Telephone Number : 702-383-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5755 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-1004
Country : US
Telephone Number : 702-383-6250
Fax Number : 702-224-7194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/07/2026

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Directions to “ GERLIE MESEROLE ” Practice Location

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