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NPI Code Detail

MEDICARE: ANABELLE BUGATTI M.S.

MEDICARE: ANABELLE BUGATTI M.S.
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1629490545
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANABELLE BUGATTI M.S.
Provider Business Mailing Address
First Line : 8174 LAS VEGAS BLVD S # 109-203
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1029
Country : US
Telephone Number : 702-769-1347
Fax Number :
Provider Business Practice Location Address
First Line : 2298 W HORIZON RIDGE PKWY STE 201
Second Line :
City : HENDERSON
State : NV
Zip : 89052-2698
Country : US
Telephone Number : 702-473-0175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2014
Last Update Date : 04/22/2015

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