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NPI Code Detail

MEDICARE: IESHA NICOLE DYER

MEDICARE: IESHA NICOLE DYER
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
1246RP1900XPhlebotomy Technician62131-AL-0NV

General Provider Information

NPI Number : 1801777347
Entity Type Code : Individual
Provider Name (Legal Business Name) : IESHA NICOLE DYER
Provider Business Mailing Address
First Line : 8414 FARM RD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8007
Country : US
Telephone Number : 702-803-3556
Fax Number :
Provider Business Practice Location Address
First Line : 8414 FARM RD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8007
Country : US
Telephone Number : 702-803-3556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2025
Last Update Date : 09/10/2025

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Directions to “ IESHA NICOLE DYER ” Practice Location

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