MEDICARE: MRS. MICHELLE RENE DUNNE FNP-C

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	APN00804	NV

General Provider Information

NPI Number	:	1710106596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE RENE DUNNE FNP-C

Provider Business Mailing Address
First Line	:	6900 N PECOS RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-4400
Country	:	US
Telephone Number	:	702-791-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505MARYLAND PARKWAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-3020
Country	:	US
Telephone Number	:	702-895-3370
Fax Number	:

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/17/2024

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