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NPI Code Detail

MEDICARE: KELLY YOVANNO TWELLS APRN

MEDICARE: KELLY YOVANNO TWELLS APRN
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
1363LF0000XFamily Nurse PractitionerAPRN001783NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2V74329OTHERNVMEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1710395496
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY YOVANNO TWELLS APRN
Provider Business Mailing Address
First Line : 390 W LAKE MEAD PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7417
Country : US
Telephone Number : 725-220-8477
Fax Number : 833-749-0360
Provider Business Practice Location Address
First Line : 390 W LAKE MEAD PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7417
Country : US
Telephone Number : 252-208-4777
Fax Number : 833-749-0360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2014
Last Update Date : 08/29/2022

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Directions to “ KELLY YOVANNO TWELLS APRN” Practice Location

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