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NPI Code Detail

MEDICARE: ANNA-JOY LINGWOOD FNP-BC, MSN

MEDICARE: ANNA-JOY LINGWOOD FNP-BC, MSN
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
1363L00000XNurse Practitioner875177NV
2363LF0000XFamily Nurse Practitioner95004021CA

General Provider Information

NPI Number : 1942656152
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA-JOY LINGWOOD FNP-BC, MSN
Provider Business Mailing Address
First Line : 3195 SAINT ROSE PKWY STE 210
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3504
Country : US
Telephone Number : 702-792-6700
Fax Number : 702-792-7198
Provider Business Practice Location Address
First Line : 3195 SAINT ROSE PKWY STE 210
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3504
Country : US
Telephone Number : 702-792-6700
Fax Number : 702-792-7198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 05/14/2024

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