Healthcare Provider Details

I. General information

NPI: 1972833952
Provider Name (Legal Business Name): ELIZABETH CATHERINE ZHELEV HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-4444
US

IV. Provider business mailing address

3041 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-4444
US

V. Phone/Fax

Practice location:
  • Phone: 702-965-4333
  • Fax:
Mailing address:
  • Phone: 702-965-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number303
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS303
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: