MEDICARE: MARIA HARUTUNIAN MCPHEE 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	831310	NV

General Provider Information

NPI Number	:	1639788235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA HARUTUNIAN MCPHEE APRN

Provider Business Mailing Address
First Line	:	7364 SALVADORA PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3293
Country	:	US
Telephone Number	:	702-321-9766
Fax Number	:

Provider Business Practice Location Address
First Line	:	7220 S CIMARRON RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2102
Country	:	US
Telephone Number	:	702-321-9766
Fax Number	:

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

Provider Enumeration Date	:	07/29/2020
Last Update Date	:	07/01/2021

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