Healthcare Provider Details

I. General information

NPI: 1659169266
Provider Name (Legal Business Name): KRISTA HEGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 W LAKE MEAD BLVD STE 300
LAS VEGAS NV
89128-8380
US

IV. Provider business mailing address

7251 W LAKE MEAD BLVD STE 300
LAS VEGAS NV
89128-8380
US

V. Phone/Fax

Practice location:
  • Phone: 702-778-7440
  • Fax: 702-463-7527
Mailing address:
  • Phone: 702-778-7440
  • Fax: 702-463-7527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: