Healthcare Provider Details

I. General information

NPI: 1881083921
Provider Name (Legal Business Name): MEADOWS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2749 SUNRIDGE HEIGHTS PKWY
HENDERSON NV
89052-5044
US

IV. Provider business mailing address

5295 S DURANGO DR STE 102
LAS VEGAS NV
89113-0188
US

V. Phone/Fax

Practice location:
  • Phone: 702-358-0472
  • Fax: 702-425-9955
Mailing address:
  • Phone: 702-358-0472
  • Fax: 702-425-9955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CLAUDIA MARTINA KRISPEL
Title or Position: OWNER
Credential: MD
Phone: 530-848-9197