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NPI Code Detail

MEDICARE: LADONNA KAY WRIGHT TAPPLIN BACHELOR

MEDICARE:   LADONNA KAY WRIGHT TAPPLIN  BACHELOR
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
1171W00000XContractor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760718522
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADONNA KAY WRIGHT TAPPLIN BACHELOR
Provider Business Mailing Address
First Line : 2013 ROYAL GARDENS PL
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3155
Country : US
Telephone Number : 702-630-2407
Fax Number :
Provider Business Practice Location Address
First Line : 2013 ROYAL GARDEN PLACE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084
Country : US
Telephone Number : 702-630-2407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2009
Last Update Date : 02/12/2015

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