HomeNPI Verification

NPI Verification

National Provider Identifier: 1659501302

A Nicknam PC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PO BOX 34717

LAS VEGAS, NV 891334717

Phone: 702-733-6622

NPI Enumeration Date

July 15, 2009

NPI Number

1659501302

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry