MEDICARE: NINA ELIZABETH AUSTIN

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1720422348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA ELIZABETH AUSTIN

Provider Business Mailing Address
First Line	:	8275 S EASTERN AVE # 200-843
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2591
Country	:	US
Telephone Number	:	702-550-2803
Fax Number	:

Provider Business Practice Location Address
First Line	:	8275 S EASTERN AVE # 200-843
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2591
Country	:	US
Telephone Number	:	702-550-2803
Fax Number	:

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

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	11/21/2024

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