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NPI Code Detail

MEDICARE: MRS. NICOLE V SAFFORD PHD

MEDICARE: MRS. NICOLE V SAFFORD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2106H00000XMarriage & Family TherapistMI4172NV

General Provider Information

NPI Number : 1093166936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE V SAFFORD PHD
Provider Business Mailing Address
First Line : 8390 W WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4420
Country : US
Telephone Number : 702-337-3111
Fax Number : 702-552-8861
Provider Business Practice Location Address
First Line : 8390 W WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4420
Country : US
Telephone Number : 702-337-3111
Fax Number : 702-552-8861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 10/28/2024

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