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NPI Code Detail

MEDICARE: NATHAN MYLES ESPIRITU DO

MEDICARE: NATHAN MYLES ESPIRITU DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramSL2536NV

General Provider Information

NPI Number : 1740114511
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN MYLES ESPIRITU DO
Provider Business Mailing Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4194
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4194
Country : US
Telephone Number : 702-388-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ NATHAN MYLES ESPIRITU DO” Practice Location

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