MEDICARE: CHRISTIAN T ESPERANCE R.N.

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
1	163W00000X	Registered Nurse	671057	NY
2	163W00000X	Registered Nurse	RN75034	NV

General Provider Information

NPI Number	:	1962836601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN T ESPERANCE R.N.

Provider Business Mailing Address
First Line	:	11148 FERRAGAMO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-6031
Country	:	US
Telephone Number	:	702-518-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	11148 FERRAGAMO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-6031
Country	:	US
Telephone Number	:	702-518-1010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	08/29/2013

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