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NPI Code Detail

MEDICARE: MARISELA NADEAU FNP-BC

MEDICARE: MARISELA NADEAU FNP-BC
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 PractitionerAPN001197NV

General Provider Information

NPI Number : 1841519808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISELA NADEAU FNP-BC
Provider Business Mailing Address
First Line : 2875 S NELLIS BLVD STE 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2087
Country : US
Telephone Number : 702-843-2420
Fax Number : 833-749-0351
Provider Business Practice Location Address
First Line : 2875 S NELLIS BLVD STE 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2087
Country : US
Telephone Number : 702-843-2420
Fax Number : 833-749-0351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2010
Last Update Date : 12/14/2021

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Directions to “ MARISELA NADEAU FNP-BC” Practice Location

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