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NANA K ERICSSON MD PC NPI 1124357967


NPI Information

NPI: 1124357967
Provider Name: NANA K ERICSSON MD PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2110 E FLAMINGO RD
SUITE 313
LAS VEGAS, NV
ZIP 89119
Phone: (702) 577-3221
Get Directions

NANA K ERICSSON MD PC is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NANA K ERICSSON MD PC NPI is 1124357967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2110 E FLAMINGO RD
SUITE 313
LAS VEGAS, NV
ZIP 89119-190
Phone: (702) 577-3221
Fax: (702) 517-5807

The provider's authorized official is Nana K Ericsson .
The authorized official title is Owner/physician and has the following contact phone number (702) 557-3221.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 12/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine11476NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18B8667MEDICARE PINNEVADA

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

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