Stall, Theresa B.

Stall, Theresa B. is an individual health care provider with primary practice located at 7050 Smoke Ranch Rd Ste 130, Las Vegas NV 89128-8609. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stall, Theresa B. can be contacted via phone (702) 233-9911.

Contact Information

Primary practice address
7050 Smoke Ranch Rd Ste 130 Las Vegas NV 89128-8609
Phone: (702) 233-9911
Fax: (702) 243-5568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP30007643 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1007373 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN001380 Nevada

Profile Details

NPI number 1669500120
LBN Legal business name Stall, Theresa B.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated May 31st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669500120 NPPES
Washington Other 0219957 L&I
Washington MEDICAID 9652496 L&I
Washington Other 03851U L&I

Popular Providers