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NPI Code Detail

MEDICARE: JOANN DOLEEN CORDERO R.N.

MEDICARE: JOANN DOLEEN CORDERO R.N.
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN31193NV

General Provider Information

NPI Number : 1760431357
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN DOLEEN CORDERO R.N.
Provider Business Mailing Address
First Line : 10713 CORAL VINE ARBOR AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-4282
Country : US
Telephone Number : 702-968-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4000 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6681
Country : US
Telephone Number : 702-968-4006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 07/08/2007

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Directions to “ JOANN DOLEEN CORDERO R.N.” Practice Location

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