MEDICARE: MS. L. NIKI MCCARTHY 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	363LF0000X	Family Nurse Practitioner	APN000716	NV

General Provider Information

NPI Number	:	1770515686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. L. NIKI MCCARTHY APN

Provider Business Mailing Address
First Line	:	8414 WEST FARM RD. #180-314
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131
Country	:	US
Telephone Number	:	702-875-2684
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4590
Country	:	US
Telephone Number	:	702-658-8800
Fax Number	:	702-658-1079

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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