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General NPI Number Information
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NPI Number | 1316368673
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEVADA HEALTH DISTRICT
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 400 SHADOW LN STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89106-4363
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Country | US
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Telephone | 702-759-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 400 SHADOW LN STE 208
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City | LAS VEGAS
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State | NV
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Zip | 89106-4363
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Country | US
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Telephone | 702-759-0930
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Fax |
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Authorized Official
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Title or Position | RN CASE MANAGER
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Name | MS. EDITH C BURNS
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Credential | REGISTERED NURSE
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Telephone | 702-759-0930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | RN23003
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License Number State | NV
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