Individual
MS. MISTY BLUE YOUNGBEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
705 HWY 446, NIXON, NV 89424
(775) 574-1018
(775) 574-1028
Mailing address
420 GREGORY STREET, PO BOX 757, WADSWORTH, NV 89442
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
822707
NV
164W00000X
Licensed Practical Nurse
Primary
LPN14094
NV
Other
Enumeration date
05/14/2007
Last updated
01/27/2020
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