Individual
MICHELLE BEDUYA EBONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
MEDEVALS OF NEVADA, 4600 KIETZKE LANE, RENO, NV 89502
(775) 451-9590
Mailing address
2920 RUBY DESERT DR, RENO, NV 89521-5310
(775) 843-8923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
872193
NV
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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