MEDICARE: MS. OLIVIA DUCKETT

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
2	225400000X	Rehabilitation Practitioner		NV

General Provider Information

NPI Number	:	1295156354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. OLIVIA DUCKETT

Provider Business Mailing Address
First Line	:	4701 E SAHARA AVE APT 6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6307
Country	:	US
Telephone Number	:	702-561-9528
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 E SAHARA AVE APT 6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6307
Country	:	US
Telephone Number	:	702-561-9528
Fax Number	:

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

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	12/16/2013

Similar Medicare Providers

1326755612 — NICOLE TAYLOR MEZA
Practice Location Address:

6249 IRENE PORTER ST
NORTH LAS VEGAS, NV
89031-6307

Practice Phone: 702-499-2614
Practice Fax:

1275496085 — ASTRA HOME CARE LLC
Practice Location Address:

1640 E SAHARA AVE STE H
LAS VEGAS, NV
89104-3491

Practice Phone: 702-755-0506
Practice Fax:

1326480229 — KYLE JOHNSON PA-C
Practice Location Address:

2212 S EASTERN AVE
LAS VEGAS, NV
89104-4124

Practice Phone: 702-735-9334
Practice Fax: 702-735-9335

1609644905 — NEVADA MEDICAL AND PAIN INSTITUTE
Practice Location Address:

1414 S EASTERN AVE STE A
LAS VEGAS, NV
89104-3903

Practice Phone: 775-469-2361
Practice Fax:

1689538829 — DAPHNE LU
Practice Location Address:

1785 E SAHARA AVE STE 340
LAS VEGAS, NV
89104-3717

Practice Phone: 702-823-4300
Practice Fax:

1518829332 — EUGENIA DIAZ ZAVALETA
Practice Location Address:

2150 S EASTERN AVE
LAS VEGAS, NV
89104-4109

Practice Phone: 702-207-0842
Practice Fax: 702-207-0357

Directions to “ MS. OLIVIA DUCKETT ” 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.