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NPI Code Detail

MEDICARE: FELICIA ANN LOVE

MEDICARE:   FELICIA ANN LOVE
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 Practitioner022097OH

General Provider Information

NPI Number : 1811659238
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA ANN LOVE
Provider Business Mailing Address
First Line : PO BOX 232190
Second Line :
City : LAS VEGAS
State : NV
Zip : 89105-2190
Country : US
Telephone Number : 216-712-2768
Fax Number :
Provider Business Practice Location Address
First Line : 1070 W HORIZON RIDGE PKWY STE 111
Second Line :
City : HENDERSON
State : NV
Zip : 89012-6019
Country : US
Telephone Number : 702-336-0843
Fax Number : 469-242-9677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2021
Last Update Date : 10/13/2021

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Directions to “ FELICIA ANN LOVE ” Practice Location

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