MEDICARE: MS. MAYLANG TAING APRN

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	363LP2300X	Primary Care Nurse Practitioner	824199	NV
2	363L00000X	Nurse Practitioner	824199	NV

General Provider Information

NPI Number	:	1932748100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAYLANG TAING APRN

Provider Business Mailing Address
First Line	:	7474 GLIMMERING SUN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8441
Country	:	US
Telephone Number	:	313-377-4054
Fax Number	:

Provider Business Practice Location Address
First Line	:	3041 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7446
Country	:	US
Telephone Number	:	866-660-7038
Fax Number	:	702-473-6058

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

Provider Enumeration Date	:	01/05/2020
Last Update Date	:	11/29/2020

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Directions to “ MS. MAYLANG TAING APRN” Practice Location

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