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NPI Code Detail

MEDICARE: DAISY VO APN, FNP

MEDICARE:   DAISY  VO  APN, FNP
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
1363LF0000XFamily Nurse PractitionerAPN001429NV

General Provider Information

NPI Number : 1811331226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY VO APN, FNP
Provider Business Mailing Address
First Line : 840 S RANCHO DR STE 4-342
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3837
Country : US
Telephone Number : 702-633-0207
Fax Number : 702-633-5099
Provider Business Practice Location Address
First Line : 5440 W SAHARA AVE # 302
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-0355
Country : US
Telephone Number : 702-633-0207
Fax Number : 702-633-0254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2013
Last Update Date : 08/08/2016

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Directions to “ DAISY VO APN, FNP” Practice Location

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