Greenlick, Luellen Ann

Greenlick, Luellen Ann is an individual health care provider with primary practice located at 8480 S Eastern Ave Ste F , Las Vegas NV 89123-2822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Greenlick, Luellen Ann can be contacted via phone (702) 914-6900.

Contact Information

Primary practice address
8480 S Eastern Ave Ste F Las Vegas NV 89123-2822
Phone: (702) 914-6900
Fax: (702) 914-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 000646 Nevada

Profile Details

NPI number 1649403841
LBN Legal business name Greenlick, Luellen Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Oct 25th, 2022 - about 3 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 1649403841 NPPES
Nevada MEDICAID 100519111

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