TIKVA DARVISH BUTLER


Address: 2860 E. Desert Inn Road, Las Vegas, NV 89121
Phone: 7027969997

TIKVA DARVISH BUTLER (NPI# 1366532434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366532434
Entity Type Individual
Full Name TIKVA DARVISH BUTLER
Credential RN, APN
Practice Address 2860 E. Desert Inn Road
Las Vegas
NV 89121
Mailing Address 8906 Spanish Ridge Ave
Suite 202
Las Vegas
NV 89148-1304
Practice Telephone 7027969997
Practice Fax Number 7027961440
Mailing Telephone 7023303102
Mailing Fax Number 7029124994
Enumeration Date 2006-10-13
Last Update Date 2017-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
00106 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1366532434 05

Office Location

Street Address 2860 E. DESERT INN ROAD
City LAS VEGAS
State NV
Zip Code 89121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1366071904 Vanesa Silva Behavior Technician 4714 Flamigo Rd, Las Vegas, NV 89121 2020-04-06
1053955732 Valente Solis Santiago Technician 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 2019-11-05
1750938981 Ken Ernst Rehabilitation Practitioner Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 2019-08-22
1902450455 Tracey Anora Henry Counselor 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 2019-08-01
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1487213807 Karla Susana Ayala Chore Provider 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 2019-06-10
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1164081972 Maria Isabel Castellanos Gonzalez Chore Provider 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 2019-06-06
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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