MEDICARE: LOVELY CHARLENNE ASTRERO HYDE

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	163W00000X	Registered Nurse	897627	NV

General Provider Information

NPI Number	:	1689522641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOVELY CHARLENNE ASTRERO HYDE

Provider Business Mailing Address
First Line	:	6026 MARIGOLD POINT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2565
Country	:	US
Telephone Number	:	808-639-5542
Fax Number	:

Provider Business Practice Location Address
First Line	:	6026 MARIGOLD POINT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2565
Country	:	US
Telephone Number	:	808-639-5542
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ LOVELY CHARLENNE ASTRERO HYDE ” Practice Location

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