Healthcare Provider Details

I. General information

NPI: 1861813545
Provider Name (Legal Business Name): COURTNEY NYLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY HILL

II. Dates (important events)

Enumeration Date: 12/23/2013
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 HIGHWAY 50 WEST SUITE 3
SILVER SPRINGS NV
89429
US

IV. Provider business mailing address

1665 OLD HOT SPRINGS RD STE 150
CARSON CITY NV
89706-0668
US

V. Phone/Fax

Practice location:
  • Phone: 775-577-0319
  • Fax:
Mailing address:
  • Phone: 775-687-0870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10809-C
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: