Denise L Fairley, CERTIFIED NURSING AS

NPI #1154811883 in Las Vegas, Nevada

Provider Information

NPI Number: 1154811883
Entity Type: Individual
Name: Denise L Fairley, CERTIFIED NURSING AS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CERTIFIED NURSING AS
Enumeration Date: May 17, 2018
Last Updated: May 17, 2018

Practice Location

Address: 3980 ASPIRATION CT
City: Las Vegas
State: Nevada
ZIP Code: 89147-6831
Phone: (702) 843-9271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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