Fallen, Henrita

Fallen, Henrita is an individual health care provider with primary practice located at 1517 Santa Rosalia Dr , North Las Vegas NV 89031-1010. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fallen, Henrita can be contacted via phone (702) 929-3297.

Contact Information

Primary practice address
1517 Santa Rosalia Dr North Las Vegas NV 89031-1010
Phone: (702) 929-3297
Fax: (702) 750-9927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1245878909
LBN Legal business name Fallen, Henrita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2019
Last updated Dec 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245878909 NPPES
Nevada MEDICAID 1306384219

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