EBONY NICOLE WILLOUGHBY NPI 1639443500

NPI Information

NPI: 1639443500
Provider Name: EBONY NICOLE WILLOUGHBY
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
724 ANTIQUE SILVER AVE
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (323) 710-5271
Get Directions

Ebony Nicole Willoughby is a rehabilitation practitioner in North Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Ebony Nicole Willoughby NPI is 1639443500. 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:

724 ANTIQUE SILVER AVE
NORTH LAS VEGAS, NV
ZIP 89032-202
Phone: (323) 710-5271

The enumeration date for this NPI number is 2/24/2012 and was last updated on 2/24/2012.

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	225400000X	Rehabilitation Practitioner				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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