AMITY ELISE HERRERA P.A. NPI 1962642082

NPI Information

NPI: 1962642082
Provider Name: AMITY ELISE HERRERA, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4488 S PECOS RD
LAS VEGAS, NV
ZIP 89121
Phone: (702) 436-1001
Get Directions

Amity Elise Herrera, P.A. is a medical physician assistant in Las Vegas, NV. Amity Elise Herrera, P.A. NPI is 1962642082. 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:

4488 S PECOS RD
LAS VEGAS, NV
ZIP 89121-030
Phone: (702) 436-1001
Fax: (702) 436-7999

The enumeration date for this NPI number is 3/2/2009 and was last updated on 6/24/2010.

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	363AM0700X	Physician Assistant	Medical	PA905	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	BN382Z	MEDICARE PIN	NEVADA
2	PA905	OTHER	NEVADA	P.A. LICENSE
3	BN382Y	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: 4/28/2024

NPI Synchronization or Removal

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