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NPI Code Detail

MEDICARE: ADRIENNE RUEZ FLECK

MEDICARE: ADRIENNE RUEZ FLECK
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
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.0038434OH
2163W00000XRegistered Nurse847822NV

General Provider Information

NPI Number : 1962242081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE RUEZ FLECK
Provider Business Mailing Address
First Line : 4461 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-5537
Country : US
Telephone Number : 702-791-9077
Fax Number :
Provider Business Practice Location Address
First Line : 4461 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-5537
Country : US
Telephone Number : 702-791-9077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2024
Last Update Date : 03/20/2026

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Directions to “ ADRIENNE RUEZ FLECK ” Practice Location

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