Healthcare Provider Details

I. General information

NPI: 1467212944
Provider Name (Legal Business Name): MARY ANN ANDREWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W SAHARA AVE STE 800
LAS VEGAS NV
89102-4397
US

IV. Provider business mailing address

8933 APPELLATION AVE
LAS VEGAS NV
89148-4990
US

V. Phone/Fax

Practice location:
  • Phone: 702-604-2448
  • Fax:
Mailing address:
  • Phone: 775-287-2293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: