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NPI Code Detail

MEDICARE: ACCESS NEVADA PSYCHIATRY

MEDICARE: ACCESS NEVADA PSYCHIATRY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1407539372
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS NEVADA PSYCHIATRY
Provider Business Mailing Address
First Line : 2269 BUFFALO RUN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1530
Country : US
Telephone Number : 702-409-3377
Fax Number :
Provider Business Practice Location Address
First Line : 305 PECOS WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2438
Country : US
Telephone Number : 702-409-3377
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DAYSHA FORD
Credential :
Telephone Number : 702-409-3377
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ACCESS NEVADA PSYCHIATRY ” 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.