MEDICARE: MARIJUNE CLAUDETTE SALOMON MARAPAO 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
1	363LF0000X	Family Nurse Practitioner	860653	NV

General Provider Information

NPI Number	:	1740998863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIJUNE CLAUDETTE SALOMON MARAPAO APRN

Provider Business Mailing Address
First Line	:	133 PIVOT AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-6907
Country	:	US
Telephone Number	:	714-906-7340
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 PIVOT AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-6907
Country	:	US
Telephone Number	:	714-906-7340
Fax Number	:

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

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	11/15/2022

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