MEDICARE: YOUR NEIGHBORHOOD RN - MOBILE IV & WELLNESS COACHING

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	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1801740535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR NEIGHBORHOOD RN - MOBILE IV & WELLNESS COACHING

Provider Business Mailing Address
First Line	:	5717 ARTESIA FOUNTAIN ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3750
Country	:	US
Telephone Number	:	702-786-8807
Fax Number	:

Provider Business Practice Location Address
First Line	:	5717 ARTESIA FOUNTAIN ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3750
Country	:	US
Telephone Number	:	702-786-8807
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY MCCREE
Credential	:	RN
Telephone Number	:	702-786-8807

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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