MEDICARE: CANDY PEMBERTON

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	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1497117832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDY PEMBERTON

Provider Business Mailing Address
First Line	:	6255 W TROPICANA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6255 W TROPICANA AVE
Second Line	:	APT 343
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4603
Country	:	US
Telephone Number	:	415-429-9646
Fax Number	:

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	03/24/2016

Similar Medicare Providers

1417377037 — EBONY BEARD
Practice Location Address:

6255 W TROPICANA AVE , APT. 400
LAS VEGAS, NV
89103-4603

Practice Phone: 619-581-1684
Practice Fax:

1235952987 — AMETHYST LOPERENA
Practice Location Address:

6255 W TROPICANA AVE
LAS VEGAS, NV
89103-4603

Practice Phone: 646-982-6679
Practice Fax:

1346844842 — MERCEDES SPRAGGINS
Practice Location Address:

2301 REDWOOD ST APT 4603
LAS VEGAS, NV
89146-2804

Practice Phone: 702-957-7948
Practice Fax:

1477338465 — ABIGAIL ROSE GONZALEZ LMSW
Practice Location Address:

4530 S DECATUR BLVD STE 201B
LAS VEGAS, NV
89103-5239

Practice Phone: 702-486-7865
Practice Fax:

1497619050 — KIMBERLY TOY
Practice Location Address:

4141 GANNET CIR UNIT 397
LAS VEGAS, NV
89103-6334

Practice Phone: 602-581-5313
Practice Fax:

1467950931 — ASBURY AND ASSOCIATES HEALTHCARE
Practice Location Address:

4445 S JONES BLVD STE 1
LAS VEGAS, NV
89103-3371

Practice Phone: 725-272-2459
Practice Fax: 702-381-5383

Directions to “ CANDY PEMBERTON ” 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.