Healthcare Provider Details
I. General information
NPI: 1932654951
Provider Name (Legal Business Name): NEVADA FERTILITY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2016
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8530 W SUNSET RD STE 310
LAS VEGAS NV
89113-2215
US
IV. Provider business mailing address
8530 W SUNSET RD STE 310
LAS VEGAS NV
89113-2215
US
V. Phone/Fax
- Phone: 702-936-8710
- Fax: 702-936-8711
- Phone: 702-936-8710
- Fax: 702-936-8711
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | NV20161048429 |
| License Number State | NV |
VIII. Authorized Official
Name:
CINDY
DUKE
Title or Position: MEDICAL DIRECTOR, FOUNDER, AND CEO
Credential:
Phone: 702-936-8710