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NPI Code Detail

MEDICARE: THE HUMMINGBIRD HEALTH PLLC

MEDICARE: THE HUMMINGBIRD HEALTH PLLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1396527578
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HUMMINGBIRD HEALTH PLLC
Provider Business Mailing Address
First Line : 3030 VILLANELLE AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89044-0555
Country : US
Telephone Number : 702-525-6046
Fax Number : 702-745-0904
Provider Business Practice Location Address
First Line : 6767 W TROPICANA AVE STE 221
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4760
Country : US
Telephone Number : 702-525-6046
Fax Number : 702-745-0904
Authorized Official
Title or Position : OWNER: MEDICAL DIRECTOR
Name : MS. SUSAN K HANCOCK
Credential : NURSE PRACTITIONER
Telephone Number : 702-525-6046
Provider Enumeration Date : 10/20/2023
Last Update Date : 04/29/2026

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Directions to “THE HUMMINGBIRD HEALTH PLLC ” Practice Location

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