Healthcare Provider Details

I. General information

NPI: 1144232786
Provider Name (Legal Business Name): WOMEN'S CANCER CENTER OF NEVADA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 04/25/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 PINTO LANE STE 200
LAS VEGAS NV
89106
US

IV. Provider business mailing address

2050 PINTO LANE STE 200
LAS VEGAS NV
89106-4159
US

V. Phone/Fax

Practice location:
  • Phone: 702-693-6870
  • Fax: 702-693-6899
Mailing address:
  • Phone: 702-693-6870
  • Fax: 702-693-6899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number1001112-650
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: NICOLA SPIRTOS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 702-325-0585