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NPI Code Detail

MEDICARE: RYAN CHENG

MEDICARE: RYAN CHENG
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 Practitioner846988NV
2363LF0000XFamily Nurse Practitioner95001440CA

General Provider Information

NPI Number : 1740684133
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CHENG
Provider Business Mailing Address
First Line : 7503 W MISTRAL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9550 S EASTERN AVE STE 253
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-8042
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2014
Last Update Date : 06/06/2024

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Directions to “ RYAN CHENG ” Practice Location

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