Street, Nelladee
Street, Nelladee is an individual health care provider with primary practice located at 1301 Bertha Howe Ave Suite 1, Mesquite NV 89027-7502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Street, Nelladee can be contacted via phone (702) 346-0800.Contact Information
Primary practice address
1301 Bertha Howe Ave Suite 1
Mesquite NV 89027-7502
Phone: (702) 346-0800
Fax: (702) 346-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | APN00314 | Nevada |
Profile Details
| NPI number | 1588646665 |
|---|---|
| LBN Legal business name | Street, Nelladee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588646665 | NPPES |
| Arizona | MEDICAID | 811580 |
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