# HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508378977
- **Authorized official:** AMBER MARIE FEDERIZO APRN (DELEGATED OFFICIAL)
- **Authorized official phone:** (702) 506-8199

## Contact information

- **Practice address:** 8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113
- **Practice address phone:** (702) 330-0555
- **Practice address fax:** (702) 832-1128
- **Mailing address:** 8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113-3629
- **Mailing address phone:** (702) 330-0555
- **Mailing address fax:** (702) 832-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0500X | Hemodialysis Registered Nurse | — | NULL | — |
| 163WH0500X | Hemodialysis Registered Nurse | — | — | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 10/20/2022