MEDICARE: AMY G STEVENS RD

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	133V00000X	Registered Dietitian	39155-DI-0	NV

General Provider Information

NPI Number	:	1578008165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY G STEVENS RD

Provider Business Mailing Address
First Line	:	4100 W FLAMINGO RD
Second Line	:	SUITE 2100
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3924
Country	:	US
Telephone Number	:	702-822-5000
Fax Number	:	702-822-5001

Provider Business Practice Location Address
First Line	:	4100 W FLAMINGO RD
Second Line	:	SUITE 2100
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3924
Country	:	US
Telephone Number	:	702-822-5000
Fax Number	:	702-822-5001

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

Provider Enumeration Date	:	01/05/2017
Last Update Date	:	01/05/2017

Similar Medicare Providers

1801905575 — LOURDES SALDI PAHURIRAY APN
Practice Location Address:

4100 W FLAMINGO RD , SUITE 2100
LAS VEGAS, NV
89103-3924

Practice Phone: 702-822-5000
Practice Fax: 702-822-5001

1639720105 — INTERCITY MEDICAL AND CONSULTING RESOURCES LLC
Practice Location Address:

4100 W FLAMINGO RD
LAS VEGAS, NV
89103-3924

Practice Phone: 888-354-2758
Practice Fax:

1740879444 — VICTORIA ELIZABETH HOLDER
Practice Location Address:

4100 W FLAMINGO RD STE 1441
LAS VEGAS, NV
89103-3924

Practice Phone: 702-758-3957
Practice Fax:

1497349385 — MR. NICOLAS JERMAINE LEE
Practice Location Address:

4100 W FLAMINGO RD STE 1441
LAS VEGAS, NV
89103-3924

Practice Phone: 702-758-3957
Practice Fax:

1578285722 — MYARK HEALTH SERVICES, INC
Practice Location Address:

4100 W FLAMINGO RD UNIT 1435
LAS VEGAS, NV
89103-3924

Practice Phone: 702-997-9976
Practice Fax: 702-993-9113

1497454243 — FITZGERALD AND ASSOCIATES BEHAVIORAL HEALTH GROUP
Practice Location Address:

4100 W FLAMINGO RD
LAS VEGAS, NV
89103-3924

Practice Phone: 888-510-0850
Practice Fax:

Directions to “ AMY G STEVENS RD” 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.