MEDICARE: STEPHANO BRISSETT

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245892967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANO BRISSETT

Provider Business Mailing Address
First Line	:	2008 HAMILTON LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4033
Country	:	US
Telephone Number	:	702-900-1489
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 HAMILTON LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4033
Country	:	US
Telephone Number	:	702-900-1489
Fax Number	:

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

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	07/02/2019

Similar Medicare Providers

1356816318 — ACTS OF KINDNESS COMMUNITY SERVICES, LLC
Practice Location Address:

2008 HAMILTON LN BLDG B
LAS VEGAS, NV
89106-4033

Practice Phone: 702-845-9789
Practice Fax:

1275183766 — NOT APPLICABLE
Practice Location Address:

2008 HAMILTON LN
LAS VEGAS, NV
89106-4033

Practice Phone: 702-900-1489
Practice Fax:

1477560589 — WENDY DIMMETTE M.D.
Practice Location Address:

1214 NATIONAL AVE
LAS VEGAS, NM
87701-4033

Practice Phone: 505-425-7340
Practice Fax: 505-425-7680

1194215491 — AMY SINDT
Practice Location Address:

1214 NATIONAL AVE
LAS VEGAS, NM
87701-4033

Practice Phone: 505-426-8095
Practice Fax:

1528553237 — SEAN REEDER
Practice Location Address:

4033 GRANT HILL AVE
NORTH LAS VEGAS, NV
89081-6648

Practice Phone: 702-550-6700
Practice Fax: 702-550-4872

1013535871 — MEAGAN ROMERO
Practice Location Address:

1214 NATIONAL AVE
LAS VEGAS, NM
87701-4033

Practice Phone: 505-426-8095
Practice Fax:

Directions to “ STEPHANO BRISSETT ” 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 © 2007-2025 (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.