MACEY DODD APRN NPI 1275199820

NPI Information

NPI: 1275199820
Provider Name: MACEY DODD, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SHARON E RUCH MD PLLC

PECOS Registration: Yes

Address:
10620 SOUTHERN HIGHLANDS PKWY STE 110-155
LAS VEGAS, NV
ZIP 89141
Phone: (702) 754-5421
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Macey Dodd, APRN is a family nurse practitioner in Las Vegas, NV with 5 years of experience. Macey Dodd, APRN NPI is 1275199820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10620 SOUTHERN HIGHLANDS PKWY STE 110-155
LAS VEGAS, NV
ZIP 89141-371
Phone: (702) 754-5421
Fax: (775) 312-2857

The NPI 1275199820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2019 and was last updated on 8/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F05190039	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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