Healthcare Provider Details

I. General information

NPI: 1093679037
Provider Name (Legal Business Name): NIKKI BABINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-5946
US

IV. Provider business mailing address

741 LIEBER WAY
HENDERSON NV
89052-8741
US

V. Phone/Fax

Practice location:
  • Phone: 877-478-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License NumberRN36287
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: