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NPI Code Detail

MEDICARE: ASHLEY SUAREZ

MEDICARE:   ASHLEY  SUAREZ
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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant14059MN

General Provider Information

NPI Number : 1841643186
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SUAREZ
Provider Business Mailing Address
First Line : 5765 S RAINBOW BLVD STE 111
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5765 S RAINBOW BLVD STE 111
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2537
Country : US
Telephone Number : 725-726-7914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2016
Last Update Date : 05/14/2026

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Directions to “ ASHLEY SUAREZ ” Practice Location

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