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NPI Code Detail

MEDICARE: PATRICE COMPTON

MEDICARE: PATRICE COMPTON
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1659194611
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE COMPTON
Provider Business Mailing Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number : 702-751-5055
Fax Number : 702-552-7138
Provider Business Practice Location Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number : 702-751-5055
Fax Number : 702-552-7138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2024
Last Update Date : 01/28/2026

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Directions to “ PATRICE COMPTON ” 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.

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