State of Nevada

NPI #1699914887 in Lovelock, Nevada

Provider Information

NPI Number: 1699914887
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Case Management
Enumeration Date: Feb 11, 2009
Last Updated: Feb 11, 2009

Practice Location

Address: 775 CORNELL AVENUE
Address 2: SUITE A-1
City: Lovelock
State: Nevada
ZIP Code: 89419-0000
Phone: (775) 273-1036

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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