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NPI Code Detail

MEDICARE: MRS. MELISSA CARR

MEDICARE:  MRS. MELISSA  CARR
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1710755848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA CARR
Provider Business Mailing Address
First Line : 514 SPARROW GULL CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-9051
Country : US
Telephone Number : 702-716-6741
Fax Number :
Provider Business Practice Location Address
First Line : 514 SPARROW GULL CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-9051
Country : US
Telephone Number : 702-716-6741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2023
Last Update Date : 12/18/2023

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Directions to “ MRS. MELISSA CARR ” Practice Location

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