MEDICARE: JOANNE P RYSHPAN-HARRIS HEALTH ADVOCATE

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1427771518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE P RYSHPAN-HARRIS HEALTH ADVOCATE

Provider Business Mailing Address
First Line	:	8164 CACTUS FLOWER CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4752
Country	:	US
Telephone Number	:	702-608-6113
Fax Number	:

Provider Business Practice Location Address
First Line	:	8164 CACTUS FLOWER CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4752
Country	:	US
Telephone Number	:	702-608-6113
Fax Number	:

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

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	10/03/2023

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