MEDICARE: MS. TINA SPANN

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1710284070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TINA SPANN

Provider Business Mailing Address
First Line	:	3816 MOONSHINE FALLS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-4486
Country	:	US
Telephone Number	:	702-823-5374
Fax Number	:

Provider Business Practice Location Address
First Line	:	3816 MOONSHINE FALLS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-4486
Country	:	US
Telephone Number	:	702-823-5374
Fax Number	:

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

Provider Enumeration Date	:	02/23/2011
Last Update Date	:	02/23/2011

Similar Medicare Providers

1487822250 — DR. JOSEPH A KOSZELAK DDS
Practice Location Address:

605 DIVISION ST
NORTH TONAWANDA, NY
14120-4486

Practice Phone: 716-694-0194
Practice Fax: 716-692-3673

1992733075 — MS. LORY A HAYON B.S., R.D.
Practice Location Address:

8125 HAVEN HEIGHTS ST
NORTH LAS VEGAS, NV
89085-2302

Practice Phone: 702-332-3677
Practice Fax: 702-989-4750

1871759746 — ANDREW K MENSAH MD A PC
Practice Location Address:

4112 LOWER SAXON AVE
NORTH LAS VEGAS, NV
89085-4467

Practice Phone: 702-210-9423
Practice Fax: 702-360-6544

1205164290 — GUY CALDERON COOPER MS, LCPC
Practice Location Address:

8228 CHIMNEY BLUFFS ST
NORTH LAS VEGAS, NV
89085-4412

Practice Phone: 702-985-7511
Practice Fax: 702-645-4919

1427367481 — NANIKO DIONNE LARRY PHARM.D.
Practice Location Address:

4051 CATHEDRAL FALLS AVE
NORTH LAS VEGAS, NV
89085-4469

Practice Phone: 702-290-8199
Practice Fax:

1629367313 — CAMILLE CRAWFORD CCC SERVICES
Practice Location Address:

4417 OASIS PLAINS AVE
NORTH LAS VEGAS, NV
89085-2334

Practice Phone: 702-515-2060
Practice Fax: 702-515-2060

Directions to “ MS. TINA SPANN ” 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.