State of Nevada

NPI #1487832085 in Gardnerville, Nevada

Provider Information

NPI Number: 1487832085
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Case Management
Enumeration Date: Feb 6, 2008
Last Updated: Oct 20, 2015

Practice Location

Address: 1528 US HIGHWAY 395 N
Address 2: SUITE 100
City: Gardnerville
State: Nevada
ZIP Code: 89410-5265
Phone: (775) 782-3671

Authorized Official

Name: SIRI MCMILLIN
Title: BILLING SUPERVISOR
Phone: (775) 684-5018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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