MEDICARE: DEBORAH A NERO

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1689219792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A NERO

Provider Business Mailing Address
First Line	:	5800 BROMLEY AVE APT 32
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1549
Country	:	US
Telephone Number	:	530-309-5667
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 BROMLEY AVE APT 32
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1549
Country	:	US
Telephone Number	:	530-309-5667
Fax Number	:

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

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	11/12/2019

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Directions to “ DEBORAH A NERO ” Practice Location

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