MEDICARE: NELSIE MOOREHEAD

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	376J00000X	Homemaker	10723-AGC-3	NV

General Provider Information

NPI Number	:	1841149697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELSIE MOOREHEAD

Provider Business Mailing Address
First Line	:	5268 CASPIAN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1409
Country	:	US
Telephone Number	:	775-513-8648
Fax Number	:

Provider Business Practice Location Address
First Line	:	5268 CASPIAN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1409
Country	:	US
Telephone Number	:	775-513-8648
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ NELSIE MOOREHEAD ” Practice Location

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