MEDICARE: AMBER SMILEY PLLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1538829767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBER SMILEY PLLC

Provider Business Mailing Address
First Line	:	3370 WASATCH CEDARS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-3573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3370 WASATCH CEDARS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-3573
Country	:	US
Telephone Number	:	702-578-4689
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMBER SMILEY
Credential	:
Telephone Number	:	702-578-4689

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	12/29/2021

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Directions to “AMBER SMILEY PLLC ” Practice Location

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