Individual
NICHOLAS A. TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3433 ALGIERS DR APT 2192, LAS VEGAS, NV 89115-2848
(702) 823-6207
Mailing address
PO BOX 570892, LAS VEGAS, NV 89157-0892
(323) 487-1652
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
246ZS0410X
Surgical Technologist
171363
CA
246ZS0410X
Surgical Technologist
Primary
171363
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171363
NBSTSA
—
Enumeration date
02/15/2016
Last updated
01/17/2023
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