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NPI Code Detail

MEDICARE: TERDELL BRINKLEY

MEDICARE: TERDELL BRINKLEY
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
1372500000XChore Provider
23747A0650XAttendant Care Provider
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1144862004
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERDELL BRINKLEY
Provider Business Mailing Address
First Line : 8855 W ARBY AVE APT 1050
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2215
Country : US
Telephone Number : 702-619-7949
Fax Number :
Provider Business Practice Location Address
First Line : 2670 CRIMSON CANYON DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0848
Country : US
Telephone Number : 702-405-8044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2019
Last Update Date : 10/11/2019

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Directions to “ TERDELL BRINKLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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