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NPI Code Detail

MEDICARE: MARK DUESENBERG

MEDICARE: MARK DUESENBERG
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
1163W00000XRegistered Nurse893063NV

General Provider Information

NPI Number : 1689520819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK DUESENBERG
Provider Business Mailing Address
First Line : 2881 N RANCHO DR APT 1112
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9275 W RUSSELL RD STE 205
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1476
Country : US
Telephone Number : 702-259-4966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MARK DUESENBERG ” Practice Location

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