MEDICARE: ERIN NEENAN

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	163W00000X	Registered Nurse	829180	NV

General Provider Information

NPI Number	:	1730047697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN NEENAN

Provider Business Mailing Address
First Line	:	2362 N GREEN VALLEY PKWY APT 83T
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2362 N GREEN VALLEY PKWY APT 83T
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3170
Country	:	US
Telephone Number	:	312-754-8141
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ ERIN NEENAN ” Practice Location

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