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NPI Code Detail

MEDICARE: FREMONT WOMENS HEALTH CARE

MEDICARE: FREMONT WOMENS HEALTH CARE
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
1207V00000XObstetrics & Gynecology Physician
2363A00000XPhysician Assistant
3363LX0001XObstetrics & Gynecology Nurse Practitioner
42471S1302XSonography Radiologic Technologist

General Provider Information

NPI Number : 1114904570
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREMONT WOMENS HEALTH CARE
Provider Business Mailing Address
First Line : PO BOX 1737
Second Line :
City : LAS VEGAS
State : NV
Zip : 89125-1737
Country : US
Telephone Number : 702-671-6800
Fax Number : 702-671-6855
Provider Business Practice Location Address
First Line : 98 E LAKE MEAD PKWY
Second Line : SUITE 201
City : HENDERSON
State : NV
Zip : 89015-5540
Country : US
Telephone Number : 702-564-1758
Fax Number : 702-564-7361
Authorized Official
Title or Position : CEO
Name : JON GREG GRIFFIN
Credential :
Telephone Number : 702-671-6800
Provider Enumeration Date : 12/28/2005
Last Update Date : 09/11/2025

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Directions to “FREMONT WOMENS HEALTH CARE ” Practice Location

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