State of Nevada

NPI #1558549972 in Caliente, Nevada

Provider Information

NPI Number
1558549972
Entity Type
Organization
Organization Name
State of Nevada
Primary Specialty
Case Management
Enumeration Date
Feb 7, 2008
Last Updated
Feb 7, 2008

Practice Location

Address
100 DEPOT
Address 2
#5
State
Nevada
ZIP Code
89008-0000
Phone
(775) 726-3368

Authorized Official

Name
SIRI MCMILLIN
Title
BILLING SUPERVISOR
Phone
(775) 687-7573

Specialties & Taxonomy Codes

Specialty
Case Management

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