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NPI Code Detail

MEDICARE: ANAYA JEAN HENNING

MEDICARE: ANAYA JEAN HENNING
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
1374U00000XHome Health AideNV

General Provider Information

NPI Number : 1639008162
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAYA JEAN HENNING
Provider Business Mailing Address
First Line : 3435 W CRAIG RD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5116
Country : US
Telephone Number : 702-929-3297
Fax Number : 702-929-3297
Provider Business Practice Location Address
First Line : 3435 W CRAIG RD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5116
Country : US
Telephone Number : 702-929-3297
Fax Number : 702-929-3297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ ANAYA JEAN HENNING ” Practice Location

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