MEDICARE: NICHOLE MOORBECK AUD

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
1	231H00000X	Audiologist	A-181	NV

General Provider Information

NPI Number	:	1851342455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLE MOORBECK AUD

Provider Business Mailing Address
First Line	:	2471 W HORIZON RIDGE PKWY
Second Line	:	SUITE 110
City	:	HENDERSON
State	:	NV
Zip	:	89052-2649
Country	:	US
Telephone Number	:	702-252-3277
Fax Number	:	702-385-3277

Provider Business Practice Location Address
First Line	:	2471 W HORIZON RIDGE PKWY
Second Line	:	SUITE 110
City	:	HENDERSON
State	:	NV
Zip	:	89052-2649
Country	:	US
Telephone Number	:	702-252-3277
Fax Number	:	702-385-3277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

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Directions to “ NICHOLE MOORBECK AUD” Practice Location

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