Tiana Dalereca Hubbard, ANP | |
3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 | |
(314) 406-9081 | |
(702) 789-0717 |
Full Name | Tiana Dalereca Hubbard |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 3450 W Cheyenne Ave, North Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518273317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | APRN002430 (Nevada) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 2010027053 (Missouri) | Secondary |
Entity Name | Khakwani Medical Corporation Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801304043 PECOS PAC ID: 7214207141 Enrollment ID: O20170725002901 |
Mailing Address | Practice Location Address |
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Tiana Dalereca Hubbard, ANP 3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 Ph: (314) 406-9081 | Tiana Dalereca Hubbard, ANP 3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 Ph: (314) 406-9081 |
Rhea Lewis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4611 Chirping St, North Las Vegas, NV 89031 Phone: 323-309-5343 | |
Geovanee Santiago Laya, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Civic Center Dr, North Las Vegas, NV 89030 Phone: 702-485-2345 | |
Erickson Nery, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4755 W Ann Rd, North Las Vegas, NV 89031 Phone: 866-389-2727 | |
Athena Aro Nguyen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7301 Sunray Point St, North Las Vegas, NV 89084 Phone: 818-403-8108 | |
Francisco Perez Sanchez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1820 E Lake Mead Blvd Ste M, North Las Vegas, NV 89030 Phone: 702-475-4352 | |
Sharlynne Anne Maucesa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Mrs. Michelle Lassiter-stephens, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1542 Visible Ave, North Las Vegas, NV 89031 Phone: 404-789-5063 |