DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. DEANDRE LISA GREEN M.ED.

MEDICARE: MS. DEANDRE LISA GREEN M.ED.
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1427216217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANDRE LISA GREEN M.ED.
Provider Business Mailing Address
First Line : 8485 BAROSSA CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-9158
Country : US
Telephone Number : 702-736-8100
Fax Number : 702-736-7881
Provider Business Practice Location Address
First Line : 5615 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-1961
Country : US
Telephone Number : 702-736-8100
Fax Number : 702-736-7881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 05/28/2008

Similar Medicare Providers

1487824207 — NEVADA CHILDREN'S CENTER
Practice Location Address:
5615 S PECOS RD
LAS VEGAS, NV
89120-1961
Practice Phone: 702-736-8100
Practice Fax:
1154589943 — SILVIA CISNEROS
Practice Location Address:
5615 S PECOS RD
LAS VEGAS, NV
89120-1961
Practice Phone: 702-736-8100
Practice Fax: 702-736-7881
1831357623 — MR. STANLEY DWAYNE SMALL
Practice Location Address:
5615 S PECOS RD
LAS VEGAS, NV
89120-1961
Practice Phone: 702-736-8100
Practice Fax:
1538327044 — JEANENE STEMM CAIN
Practice Location Address:
5615 S PECOS RD
LAS VEGAS, NV
89120-1961
Practice Phone: 702-736-8100
Practice Fax:
1396903860 — SIERRA NICHOLE WILLIAMS-BYRD
Practice Location Address:
5615 S PECOS RD
LAS VEGAS, NV
89120-1961
Practice Phone: 702-736-8100
Practice Fax:
1043478514 — MS. JULIE MEREDITH GORDON
Practice Location Address:
5615 S PECOS RD
LAS VEGAS, NV
89120-1961
Practice Phone: 702-736-8100
Practice Fax:

Directions to “ MS. DEANDRE LISA GREEN M.ED.” 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.