MEDICARE: MS. REBECCA L VOORHIES PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	851070	NV

General Provider Information

NPI Number	:	1205394194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA L VOORHIES PMHNP

Provider Business Mailing Address
First Line	:	3371 N BUFFALO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6283
Country	:	US
Telephone Number	:	702-786-4268
Fax Number	:

Provider Business Practice Location Address
First Line	:	3371 N BUFFALO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6283
Country	:	US
Telephone Number	:	702-786-4268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2019
Last Update Date	:	07/20/2022

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