LISA A DURETTE MD PLLC NPI 1164873246

NPI Information

NPI: 1164873246
Provider Name: LISA A DURETTE MD PLLC

Doing Business As: HEALTHY MINDS

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
526 S TONOPAH DR STE 200
LAS VEGAS, NV
ZIP 89106
Phone: (702) 440-8440
Get Directions

LISA A DURETTE MD PLLC is a child and adolescent psychiatry psychiatry neurology in Las Vegas, NV. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LISA A DURETTE MD PLLC NPI is 1164873246. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthy Minds.

The provider's business location address is:

526 S TONOPAH DR STE 200
LAS VEGAS, NV
ZIP 89106-013
Phone: (702) 440-8440

The provider's authorized official is Wanda Wilkins .
The authorized official title is Credentialing Specialist and has the following contact phone number (725) 246-1483.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 11/21/2022.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			Yes

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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