Healthcare Provider Details

I. General information

NPI: 1417302175
Provider Name (Legal Business Name): YVONNE RENEE RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 SEINE WAY
HENDERSON NV
89014-7508
US

IV. Provider business mailing address

359 SEINE WAY
HENDERSON NV
89014-7508
US

V. Phone/Fax

Practice location:
  • Phone: 702-400-0350
  • Fax:
Mailing address:
  • Phone: 702-400-0350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2279E0002X
TaxonomyEmergency Care Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code2279G0305X
TaxonomyGeriatric Care Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 5
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 8
Primary TaxonomyN
Taxonomy Code2279P3800X
TaxonomyPalliative/Hospice Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV
# 9
Primary TaxonomyN
Taxonomy Code2279P4000X
TaxonomyPatient Transport Registered Respiratory Therapist
License NumberRC 2449
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: