Brianna Ray Clancy
Individual provider Active NPI Dental Hygienist · Sun Valley, NV
NPI 1013429554 · NPPES record last updated Oct 24, 2017
Key facts
- NPI
- 1013429554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 102340 (NV)
- Practice address
- 5400 Rama Cir
Sun Valley, NV 89433-7826 - Phone
- (775) 636-2658
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102340 | NV | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 102340 | NV | Yes |
Addresses
Primary practice location
5400 Rama Cir
Sun Valley, NV 89433-7826
Mailing address
5400 Rama Cir
Sun Valley, NV 89433-7826
Phone (775) 636-2658
Other providers in Sun Valley, NV
- Jaren Cervantes Llamas
- Emily Cervantes
- Dawn Leeann Chambers
- Amar Kumar Chandaluri
- Alma Chavez Delgado
- Pamela Mae Clizer
- Community Health Alliance
- Community Health Alliance
- Andrea Corral Najera
- Sally M Crank
All providers in Sun Valley, NV · Dental Hygienist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.