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NPI Code Detail

MEDICARE: DONNA TANCREDI

MEDICARE: DONNA TANCREDI
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1770088742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA TANCREDI
Provider Business Mailing Address
First Line : 8290 W SAHARA AVE STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8933
Country : US
Telephone Number : 702-262-9949
Fax Number :
Provider Business Practice Location Address
First Line : 8290 W SAHARA AVE STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8933
Country : US
Telephone Number : 702-262-9949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2018
Last Update Date : 07/02/2021

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Directions to “ DONNA TANCREDI ” Practice Location

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