# FAMILY NURSE PRACTITIONER LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902679103
- **Authorized official:** MELISSA A CHACHERE (BILLING CREDENTIALING SPECIALIST)
- **Authorized official phone:** (702) 502-7254

## Contact information

- **Practice address:** 8084 W SAHARA AVE STE B, LAS VEGAS, NV 89117-1977
- **Practice address phone:** (702) 257-7246
- **Mailing address:** 8084 W SAHARA AVE STE B, LAS VEGAS, NV 89117-1977
- **Mailing address phone:** (702) 502-7254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 10/31/2023