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NPI Code Detail

MEDICARE: DORIS R ANUKAM APRN

MEDICARE:   DORIS R ANUKAM  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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner841181NV
2163W00000XRegistered Nurse25039NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125039OTHERNVREGISTERED NURSE
2841181OTHERNVAPRN-CNP

General Provider Information

NPI Number : 1952637795
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS R ANUKAM APRN
Provider Business Mailing Address
First Line : 6190 MAE ANNE AVE STE 1
Second Line :
City : RENO
State : NV
Zip : 89523-4709
Country : US
Telephone Number : 775-418-5990
Fax Number : 775-418-5991
Provider Business Practice Location Address
First Line : 6190 MAE ANNE AVE STE 1
Second Line :
City : RENO
State : NV
Zip : 89523-4709
Country : US
Telephone Number : 775-418-5990
Fax Number : 775-418-5991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2009
Last Update Date : 07/01/2021

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Directions to “ DORIS R ANUKAM APRN” Practice Location

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