GRACEANN A FREEMAN NPI 1124227244

NPI Information

NPI: 1124227244
Provider Name: GRACEANN A FREEMAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: URGENT CARE NEVADA, LLC

PECOS Registration: Yes

Address:
888 S RANCHO DR
LAS VEGAS, NV
ZIP 89106
Phone: (702) 877-5152
Get Directions

Graceann A Freeman is a family nurse practitioner in Las Vegas, NV with 17 years of experience. Graceann A Freeman NPI is 1124227244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

888 S RANCHO DR
LAS VEGAS, NV
ZIP 89106-810
Phone: (702) 877-5152
Fax: (702) 877-5341

The NPI 1124227244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 6/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN000955	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V110664	OTHER	NEVADA	SMA MEDICARE
2	MF3150973	OTHER	NEVADA	DEA
3	1124227244	OTHER	NEVADA	SMA MEDICAID
4	1124227244	MEDICAID	NEVADA
5	BA741Z	MEDICARE PIN	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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