Individual
EMILY HANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
9811 W CHARLESTON BLVD # 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
6150 ECHO CAVE AVE, LAS VEGAS, NV 89131-2501
(510) 861-4363
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3151
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151
CNIM
—
Enumeration date
03/30/2015
Last updated
08/14/2015
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