# ANDREA E PERNELL MD PC

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

## Provider details

- **NPI number:** 1851670178
- **Authorized official:** ANDREA PERNELL MD (PRESIDENT)
- **Authorized official phone:** (702) 279-0765

## Contact information

- **Practice address:** 2810 W CHARLESTON BLVD, SUITE 48, LAS VEGAS, NV 89102-1921
- **Practice address phone:** (702) 870-2213
- **Practice address fax:** (702) 362-2463
- **Mailing address:** PO BOX 400205, LAS VEGAS, NV 89140-0205
- **Mailing address phone:** (702) 870-2213
- **Mailing address fax:** (702) 870-2214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NV | Yes |

## Other

- **Enumeration date:** 08/04/2011
- **Last updated:** 12/31/2013