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Individual
MYRA M. CLEARY
Active
Individual
MYRA M. CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP, PMHS
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APN000860
NV
363LP0200X
Pediatric Nurse Practitioner
Primary
R205967
MD
363LP0200X
Pediatric Nurse Practitioner
RN1025798
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507054
—
NV
05
—
100507055
—
NV
01
—
530334
NEVADACARE COMM,MCAID
NV
01
—
CC2022
BXBS
NV
Enumeration date
03/01/2006
Last updated
07/12/2024
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