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NPI Code Detail

MEDICARE: NANCY MONTES CASTANEDA

MEDICARE:   NANCY  MONTES CASTANEDA
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
1376J00000XHomemaker
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1962139816
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY MONTES CASTANEDA
Provider Business Mailing Address
First Line : 3468 E SAHARA AVE STE 165
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4827
Country : US
Telephone Number : 702-201-2579
Fax Number :
Provider Business Practice Location Address
First Line : 3868 E SAHARA AVE
Second Line : SUITE 165
City : LAS VEGAS
State : NV
Zip : 89104
Country : US
Telephone Number : 702-207-0842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 08/02/2022

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Directions to “ NANCY MONTES CASTANEDA ” Practice Location

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