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NPI Code Detail

MEDICARE: IRMA VIERNEZA

MEDICARE: IRMA VIERNEZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1251E0000XOTHERNVHOME HEALTH

General Provider Information

NPI Number : 1053999151
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRMA VIERNEZA
Provider Business Mailing Address
First Line : 3950 MOUNTAIN VISTA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4726
Country : US
Telephone Number : 847-770-8731
Fax Number :
Provider Business Practice Location Address
First Line : 6615 S EASTERN AVE STE 104
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3926
Country : US
Telephone Number : 702-722-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 03/30/2021

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Directions to “ IRMA VIERNEZA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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