Melanie Ritz Odivelas Amago

Individual provider Active NPI Home Health Registered Nurse · Henderson, NV

NPI 1013734987 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1013734987
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
874270 (NV)
Practice address
10712 Meridian Mills Rd
Henderson, NV 89052-8686
Phone
(702) 927-2618
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
874270NVMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 874270 NV Yes

Addresses

Primary practice location

10712 Meridian Mills Rd
Henderson, NV 89052-8686

Mailing address

10712 Meridian Mills Rd
Henderson, NV 89052-8686
Phone (702) 927-2618

Other providers in Henderson, NV

All providers in Henderson, NV · Home Health Registered Nurse in Nevada

Sources for this page

Verify at the official NPI Registry.