MEDICARE: NISHA MARIE UY

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	1041C0700X	Clinical Social Worker		NV

General Provider Information

NPI Number	:	1831819705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NISHA MARIE UY

Provider Business Mailing Address
First Line	:	7291 W CHARLESTON BLVD STE AB&120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1595
Country	:	US
Telephone Number	:	725-237-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	7291 W CHARLESTON BLVD STE AB&120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1595
Country	:	US
Telephone Number	:	725-237-0080
Fax Number	:

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

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	08/31/2022

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Directions to “ NISHA MARIE UY ” Practice Location

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