Healthcare Provider Details

I. General information

NPI: 1669919668
Provider Name (Legal Business Name): NOBUE CARD R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NOBUE ONOMURA RN,

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 GALLETTI WAY
SPARKS NV
89431-5564
US

IV. Provider business mailing address

480 GALLETTI WAY
SPARKS NV
89431-5564
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-3380
  • Fax:
Mailing address:
  • Phone: 775-688-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number18829
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number561163
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number898999
License Number StateZZ
# 4
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN35948
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: