1972831840 NPI number — MRS. MICHELLE LYNNE STEVA HARLEY NURSE AIDE

Table of content: MRS. MICHELLE LYNNE STEVA HARLEY NURSE AIDE (NPI 1972831840)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972831840 NPI number — MRS. MICHELLE LYNNE STEVA HARLEY NURSE AIDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEVA HARLEY
Provider First Name:
MICHELLE
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NURSE AIDE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STEVA
Provider Other First Name:
MICHELLE
Provider Other Middle Name:
LYNNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972831840
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 60954
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89160-0954
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-505-0545
Provider Business Mailing Address Fax Number:
702-685-4472

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 N GREEN VALLEY PKWY
Provider Second Line Business Practice Location Address:
APT. 1511
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89074-5817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-505-0545
Provider Business Practice Location Address Fax Number:
702-685-4472
Provider Enumeration Date:
12/03/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 376K00000X , with the licence number:  CNA014618 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com