Healthcare Provider Details

I. General information

NPI: 1871303420
Provider Name (Legal Business Name): MICAH LINDSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 CORDOBA LN APT D
LAS VEGAS NV
89108-2126
US

IV. Provider business mailing address

1621 CORDOBA LN APT D
LAS VEGAS NV
89108-2126
US

V. Phone/Fax

Practice location:
  • Phone: 23-578-3177
  • Fax: 702-357-8317
Mailing address:
  • Phone: 23-578-3177
  • Fax: 702-357-8317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: