MEDICARE: NOEMI NOBLE DEL ROSARIO

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	APN001444	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679817274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEMI NOBLE DEL ROSARIO

Provider Business Mailing Address
First Line	:	1905 MCDANIEL ST STE 105
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7170
Country	:	US
Telephone Number	:	702-868-7777
Fax Number	:	702-260-0333

Provider Business Practice Location Address
First Line	:	1905 MCDANIEL ST STE 105
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7170
Country	:	US
Telephone Number	:	702-868-7777
Fax Number	:	702-260-0333

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

Provider Enumeration Date	:	11/20/2012
Last Update Date	:	11/12/2020

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Directions to “ NOEMI NOBLE DEL ROSARIO ” Practice Location

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