MEDICARE: DEIDRE FAWN CLEAVER

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1932741022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEIDRE FAWN CLEAVER

Provider Business Mailing Address
First Line	:	2893 KLINGER CIR APT 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1023
Country	:	US
Telephone Number	:	661-448-5496
Fax Number	:

Provider Business Practice Location Address
First Line	:	2893 KLINGER CIR APT 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1023
Country	:	US
Telephone Number	:	661-448-5496
Fax Number	:

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

Provider Enumeration Date	:	10/10/2019
Last Update Date	:	10/10/2019

Similar Medicare Providers

1700289782 — JOANN F WASHINGTON
Practice Location Address:

650 E AZURE AVE , #3 - 1023
NORTH LAS VEGAS, NV
89081-6885

Practice Phone: 610-570-9003
Practice Fax:

1174928360 — UNIMAX CONSULTATION GROUP
Practice Location Address:

770 WEST LONE MOUNTAIN ROAD , 1023
NORTH LAS VEGAS, NV
89031

Practice Phone: 702-218-6271
Practice Fax:

1053812255 — WENCHAO KUANG
Practice Location Address:

3405 EVENING SUN DR
LAS VEGAS, NV
89117-1023

Practice Phone: 702-301-3118
Practice Fax:

1366924110 — CONNIE XIAMIN KUANG
Practice Location Address:

3405 EVENING SUN DR
LAS VEGAS, NV
89117-1023

Practice Phone: 702-767-8128
Practice Fax:

1821630773 — CARLOS ALBERTO NOVAL ARIAS
Practice Location Address:

6360 E SAHARA AVE APT 1023
LAS VEGAS, NV
89142-2856

Practice Phone: 702-917-5094
Practice Fax:

1316808306 — MIND AND MEDICAL LLC
Practice Location Address:

3430 E FLAMINGO RD STE 215
LAS VEGAS, NV
89121-5064

Practice Phone: 702-682-6778
Practice Fax:

Directions to “ DEIDRE FAWN CLEAVER ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.