Healthcare Provider Details

I. General information

NPI: 1275993487
Provider Name (Legal Business Name): AMELIA CAHEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2016
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 W BONANZA RD
LAS VEGAS NV
89106-4710
US

IV. Provider business mailing address

7545 OSO BLANCA RD UNIT 3138
LAS VEGAS NV
89149-1490
US

V. Phone/Fax

Practice location:
  • Phone: 702-749-6332
  • Fax:
Mailing address:
  • Phone: 601-906-3635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: