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NPI Code Detail

MEDICARE: MORNING STAR INTEGRATED HEALTH CENTER, LLC

MEDICARE: MORNING STAR INTEGRATED HEALTH CENTER, LLC
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
1363LA2200XAdult Health Nurse Practitioner

General Provider Information

NPI Number : 1952924011
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORNING STAR INTEGRATED HEALTH CENTER, LLC
Provider Business Mailing Address
First Line : 247 BLUFFS AVE STE 102
Second Line :
City : ELKO
State : NV
Zip : 89801-2488
Country : US
Telephone Number : 775-738-1212
Fax Number :
Provider Business Practice Location Address
First Line : 247 BLUFFS AVE STE 102
Second Line :
City : ELKO
State : NV
Zip : 89801-2488
Country : US
Telephone Number : 775-388-3033
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : SARAH K LINO
Credential : APRN
Telephone Number : 775-738-1212
Provider Enumeration Date : 05/24/2020
Last Update Date : 01/21/2021

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