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NPI 1669944484ActiveOrganization· Nurse Practitioner, Primary Care· Las Vegas, NV
Nurse Practitioner, Primary Care in Las Vegas, Nevada, registered in NPPES in December 2018. The authorized official on file is Mae Derequito Lueck, Ceo.
Overview
| NPI | 1669944484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2018 |
| Last updated in NPPES | Dec 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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