MEDICARE: MRS. CHRISTINE MAY CENDANA APN

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	261QC1500X	Community Health Clinic/Center	APN001214	NV
2	363LF0000X	Family Nurse Practitioner	APN001214	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	363LF0000X	OTHER	NV	TAXONOMY

General Provider Information

NPI Number	:	1760799274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE MAY CENDANA APN

Provider Business Mailing Address
First Line	:	1140 ALMOND TREE LN
Second Line	:	SUITE 306
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3233
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

Provider Business Practice Location Address
First Line	:	1140 ALMOND TREE LN
Second Line	:	SUITE 306
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3233
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

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

Provider Enumeration Date	:	09/03/2010
Last Update Date	:	04/18/2012

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