Healthcare Provider Details

I. General information

NPI: 1831608595
Provider Name (Legal Business Name): DENISE RYS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS NV
89117-7528
US

IV. Provider business mailing address

9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS NV
89117-7528
US

V. Phone/Fax

Practice location:
  • Phone: 855-864-4322
  • Fax: 866-540-2867
Mailing address:
  • Phone: 855-864-4322
  • Fax: 866-540-2867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: