MEDICARE: ELIZABETH ROSENTHAL

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	163WH0200X	Home Health Registered Nurse	851761	NV

General Provider Information

NPI Number	:	1669338893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ROSENTHAL

Provider Business Mailing Address
First Line	:	332 GUSTY SANDS ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-0103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9275 W RUSSELL RD STE 205
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1476
Country	:	US
Telephone Number	:	844-472-5634
Fax Number	:	844-333-0623

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

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

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Directions to “ ELIZABETH ROSENTHAL ” Practice Location

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