MALIKA COPPEDGE APRN LLC NPI 1700360534

NPI Information

NPI: 1700360534
Provider Name: MALIKA COPPEDGE APRN LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4760 S PECOS RD STE 104
LAS VEGAS, NV
ZIP 89121
Phone: (702) 434-5114
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MALIKA COPPEDGE APRN LLC is a psychiatric/mental health nurse practitioner in Las Vegas, NV. MALIKA COPPEDGE APRN LLC NPI is 1700360534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4760 S PECOS RD STE 104
LAS VEGAS, NV
ZIP 89121-828
Phone: (702) 434-5114

The provider's authorized official is Malika Coppedge .
The authorized official title is Owner and has the following contact phone number (702) 434-5114.

The enumeration date for this NPI number is 9/18/2018 and was last updated on 9/18/2018.

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	363LP2300X	Nurse Practitioner	Primary Care			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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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