MEDICARE: MICHELLE NATALIE DITO

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	1041C0700X	Clinical Social Worker	11318-C	NV

General Provider Information

NPI Number	:	1861145682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE NATALIE DITO

Provider Business Mailing Address
First Line	:	5550 PAINTED MIRAGE RD STE 380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4727
Country	:	US
Telephone Number	:	480-217-9145
Fax Number	:

Provider Business Practice Location Address
First Line	:	5550 PAINTED MIRAGE RD STE 380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4727
Country	:	US
Telephone Number	:	480-217-9145
Fax Number	:

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

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	09/26/2024

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Directions to “ MICHELLE NATALIE DITO ” Practice Location

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