Healthcare Provider Details

I. General information

NPI: 1437123411
Provider Name (Legal Business Name): NOCTURNA SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9077 S PECOS RD. SUITE 3700
HENDERSON NV
89074-7181
US

IV. Provider business mailing address

9077 S PECOS RD STE 3700
HENDERSON NV
89074-7181
US

V. Phone/Fax

Practice location:
  • Phone: 702-896-7378
  • Fax: 702-897-8252
Mailing address:
  • Phone: 702-896-7378
  • Fax: 702-897-8252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number2000827-320
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MOLFETTA
Title or Position: OWNER
Credential:
Phone: 702-896-7378