Lisa Bobzien

Individual provider Active NPI Home Health Registered Nurse · Las Vegas, NV

NPI 1194592121 · NPPES record last updated Dec 11, 2023

Key facts

NPI
1194592121
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
813665 (NV)
Practice address
4423 W Flamingo Rd
Las Vegas, NV 89103-3703
Phone
(702) 458-1137
Fax
(702) 458-1423
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
813665NVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nursecore Management Services, LLC Past
since Dec 17, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 813665 NV Yes

Addresses

Primary practice location

4423 W Flamingo Rd
Las Vegas, NV 89103-3703

Mailing address

1649 Aspen Meadows Dr
Henderson, NV 89014-7419
Phone (650) 772-2336

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Home Health Registered Nurse in Nevada

Sources for this page

Verify at the official NPI Registry.