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NPI Code Detail

MEDICARE: MRS. MA BENIROSE MCNAUGHT MSN, APRN, FNP-C

MEDICARE: MRS. MA BENIROSE MCNAUGHT MSN, APRN, FNP-C
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 Practitioner209019913IL
2363LF0000XFamily Nurse Practitioner823027NV

General Provider Information

NPI Number : 1821645607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MA BENIROSE MCNAUGHT MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 8965 CHERRY BARN ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6188
Country : US
Telephone Number : 309-319-4228
Fax Number :
Provider Business Practice Location Address
First Line : 8965 CHERRY BARN ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6188
Country : US
Telephone Number : 309-319-4228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 10/15/2025

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