MEDICARE: MRS. EVITA DAVIS

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1073940607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EVITA DAVIS

Provider Business Mailing Address
First Line	:	6696 BOOMTOWN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122
Country	:	US
Telephone Number	:	323-351-6677
Fax Number	:

Provider Business Practice Location Address
First Line	:	6696 BOOM TOWN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-8632
Country	:	US
Telephone Number	:	323-351-6677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/27/2013

Similar Medicare Providers

1043868144 — DESERT VIEW GROUP LLC
Practice Location Address:

3355 SPRING MOUNTAIN RD STE 17
LAS VEGAS, NV
89102-8632

Practice Phone: 702-576-1211
Practice Fax: 702-965-2987

1891494217 — MARY HAMLIN
Practice Location Address:

3355 SPRING MOUNTAIN RD STE 17
LAS VEGAS, NV
89102-8632

Practice Phone: 702-490-0366
Practice Fax:

1508545997 — STEPHANIE DENISE PRIMM
Practice Location Address:

3355 SPRING MOUNTAIN RD STE 17
LAS VEGAS, NV
89102-8632

Practice Phone: 702-686-3372
Practice Fax:

1841979085 — EBONIE YVONNE JAMIESON
Practice Location Address:

3355 SPRING MOUNTAIN RD STE 17
LAS VEGAS, NV
89102-8632

Practice Phone: 702-490-6607
Practice Fax:

1932051125 — ROBERTO RICARDO PELAEZ DAVILA
Practice Location Address:

5044 HALLET DR
LAS VEGAS, NV
89122-6613

Practice Phone: 702-333-1488
Practice Fax:

1881993343 — DR. FUZHAN PARHIZGAR M.D.
Practice Location Address:

6360 BOULDER HWY
LAS VEGAS, NV
89122-7301

Practice Phone: 725-228-4520
Practice Fax: 877-889-5390

Directions to “ MRS. EVITA DAVIS ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.