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NPI Code Detail

MEDICARE: NYANDWI MELIDA

MEDICARE: NYANDWI MELIDA
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1831055565
Entity Type Code : Individual
Provider Name (Legal Business Name) : NYANDWI MELIDA
Provider Business Mailing Address
First Line : 1711 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3201
Country : US
Telephone Number : 702-839-1088
Fax Number : 702-922-3256
Provider Business Practice Location Address
First Line : 1711 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3201
Country : US
Telephone Number : 702-839-1088
Fax Number : 702-922-3256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2025
Last Update Date : 12/26/2025

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Directions to “ NYANDWI MELIDA ” Practice Location

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