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NPI Code Detail

MEDICARE: SHIRLEY ANN ALBRITTON

MEDICARE:   SHIRLEY ANN ALBRITTON
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
1101YP1600XPastoral Counselor83537NV
2101YM0800XMental Health CounselorNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11402652846OTHERNVLICENSE

General Provider Information

NPI Number : 1205364627
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY ANN ALBRITTON
Provider Business Mailing Address
First Line : 2400 GOLDENMOON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4477
Country : US
Telephone Number : 702-416-0553
Fax Number :
Provider Business Practice Location Address
First Line : 2301 NORTH DECATUR BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-8910
Country : US
Telephone Number : 702-790-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 06/15/2017

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Directions to “ SHIRLEY ANN ALBRITTON ” Practice Location

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