DAMIAN ETHEREDGE NPI 1679959159

NPI Information

NPI: 1679959159
Provider Name: DAMIAN ETHEREDGE
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
3644 S FORT APACHE RD
UNIT 1061
LAS VEGAS, NV
ZIP 89147
Phone: (702) 953-2417
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Damian Etheredge is an electroneurodiagnostic specialist technologist other in Las Vegas, NV. Damian Etheredge NPI is 1679959159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3644 S FORT APACHE RD
UNIT 1061
LAS VEGAS, NV
ZIP 89147-409
Phone: (702) 953-2417

The enumeration date for this NPI number is 8/6/2015 and was last updated on 8/6/2015.

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	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			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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