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Organization

UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTISPECIALTY GROUP PRACTICE

Active
Parent organization
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTISPECIALTY GROUP PRACTICE
Other names
MedSchool Associates South
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTISPECIALTY GROUP PRACTICE
Authorized official
BRENDA MURPHY (CONTRACTING / CREDENTIALING SPECIAL)
(775) 682-8175
Entity
Organization

Contact information

Practice address
522 E LAKE MEAD PKWY STE 5, HENDERSON, NV 89015-5573
(702) 455-7900
(702) 565-3104
Mailing address
522 E LAKE MEAD PKWY STE 5, HENDERSON, NV 89015-5573
(702) 455-7900
(702) 565-3104

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
163WP0808X
Psychiatric/Mental Health Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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