MEDICARE: DR. NICOLE LEE HARMEL DC

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	111N00000X	Chiropractor	B01597	NV

General Provider Information

NPI Number	:	1811092240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE LEE HARMEL DC

Provider Business Mailing Address
First Line	:	1201 N DECATUR BLVD STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1213
Country	:	US
Telephone Number	:	702-646-1150
Fax Number	:	702-646-1152

Provider Business Practice Location Address
First Line	:	1201 N DECATUR BLVD STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108
Country	:	US
Telephone Number	:	702-646-1150
Fax Number	:	702-646-1152

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	05/31/2018

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