Healthcare Provider Details

I. General information

NPI: 1225905813
Provider Name (Legal Business Name): CECILLIA LEANDRA NICHOLS-BELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 SAN CARLOS CREEK LN
HENDERSON NV
89002-0940
US

IV. Provider business mailing address

940 SAN CARLOS CREEK LN
HENDERSON NV
89002-0940
US

V. Phone/Fax

Practice location:
  • Phone: 702-708-2920
  • Fax:
Mailing address:
  • Phone: 702-708-2920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number852850
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number852850
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number852850
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number852850
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: