MEDICARE: MRS. HELGA WHITE RN

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	163W00000X	Registered Nurse	RN61667	NV

General Provider Information

NPI Number	:	1538499389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELGA WHITE RN

Provider Business Mailing Address
First Line	:	5757 WAYNE NEWTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89111-5000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 WAYNE NEWTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89111-5000
Country	:	US
Telephone Number	:	702-538-8518
Fax Number	:

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

Provider Enumeration Date	:	12/29/2009
Last Update Date	:	12/29/2009

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Directions to “ MRS. HELGA WHITE RN” Practice Location

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