Healthcare Provider Details

I. General information

NPI: 1508174160
Provider Name (Legal Business Name): BELINDA D PEREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 09/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 W CHARLESTON BLVD
LAS VEGAS NV
89146-1126
US

IV. Provider business mailing address

6161 W CHARLESTON BLVD
LAS VEGAS NV
89146-1126
US

V. Phone/Fax

Practice location:
  • Phone: 702-486-0985
  • Fax: 702-486-0711
Mailing address:
  • Phone: 702-486-0985
  • Fax: 702-486-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN47583
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: