Healthcare Provider Details

I. General information

NPI: 1073417945
Provider Name (Legal Business Name): ERYN STAMPFEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

959 DERRINGER LN
HENDERSON NV
89014-2596
US

IV. Provider business mailing address

959 DERRINGER LN
HENDERSON NV
89014-2596
US

V. Phone/Fax

Practice location:
  • Phone: 702-882-6073
  • Fax: 702-882-6073
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number867828
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: