Mullissa Michelle Childress in Las Vegas - Family
Mullissa Michelle Childress - NPI 1104827492
Mullissa Michelle Childress is a Family in Las Vegas, Nevada. Mullissa Michelle Childress practices all healthcare services and medical treatments related to Family. The NPI Number for Mullissa Michelle Childress is 1104827492. The last update date is 2021-11-04.
Mullissa Michelle Childress's current location address is Po Box 35380, Las Vegas, Nevada. You can contact this provider via phone number 7028775088. The mailing address for Mullissa Michelle Childress is Po Box 35380, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mullissa Michelle Childress |
|---|---|
| Address | Po Box 35380, Las Vegas, Nevada |
| Phone Number | 7028775088 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1104827492 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2021-11-04 |
Provider Mailing Address Detail
| Address | Po Box 35380 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891335380 |
| Phone Number | 7028775088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | F0714788 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113011 | OH | -- | |
| 129662 | OH | -- |
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What is the unique 10-digit identification code assigned to Mullissa Michelle Childress by the Centers for Medicare & Medicaid Services?
The Mullissa Michelle Childress has been issued the NPI (National Provider Identifier) 1104827492, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mullissa Michelle Childress?
The Mullissa Michelle Childress is situated at Po Box 35380, in the city of Las Vegas, state of NV, with the zip code 891335380.
What is Mullissa Michelle Childress's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mullissa Michelle Childress's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Mullissa Michelle Childress receive its 1104827492 assignment from the Centers for Medicare & Medicaid Services?
The Mullissa Michelle Childress was assigned its 1104827492 by the Centers for Medicare & Medicaid Services on 2005-08-09.
When was the Mullissa Michelle Childress's information last updated?
The Mullissa Michelle Childress's information was last updated on 2021-11-04.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT