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NPI Code Detail

MEDICARE: NEVADA WOMENS HOSPITALISTS DICKENS PLLC

MEDICARE: NEVADA WOMENS HOSPITALISTS DICKENS 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
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1528628047
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA WOMENS HOSPITALISTS DICKENS PLLC
Provider Business Mailing Address
First Line : 8906 SPANISH RIDGE AVE STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1319
Country : US
Telephone Number : 702-330-3102
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 8906 SPANISH RIDGE AVE STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1319
Country : US
Telephone Number : 702-577-1622
Fax Number : 702-912-4994
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : KRISTINA NURSE
Credential :
Telephone Number : 904-329-6794
Provider Enumeration Date : 06/17/2019
Last Update Date : 03/12/2026

Similar Medicare Providers

1144222514 — RANDALL MORRIS TUGGLE MD
Practice Location Address:
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV
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Practice Phone: 702-330-3102
Practice Fax: 702-912-4994
1033194725 — DR. JESSICA B COLWILL M.D.
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1457339103 — DR. JESSE A SHERROD III M.D.
Practice Location Address:
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV
89148-1319
Practice Phone: 702-330-3102
Practice Fax: 702-912-4994
1508825290 — KRYSTAL VANLOWE MD
Practice Location Address:
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV
89148-1319
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Practice Fax: 702-912-4994
1619917291 — DR. NANCY LYNN LONG M.D.
Practice Location Address:
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV
89148-1319
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Practice Fax: 702-912-4994
1922191337 — DR. PAUL CHAO M.D.
Practice Location Address:
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV
89148-1319
Practice Phone: 702-577-1622
Practice Fax: 702-912-4994

Directions to “NEVADA WOMENS HOSPITALISTS DICKENS PLLC ” Practice Location

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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.