Quianna Ameenia Cordona I
Individual provider Active NPI Specialist · Henderson, NV
NPI 1376359224 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1376359224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 446 Winthrop PL
Henderson, NV 89074-5746 - Phone
- (267) 810-8222
- NPI assigned
- Dec 5, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
446 Winthrop PL
Henderson, NV 89074-5746
Mailing address
446 Winthrop PL
Henderson, NV 89074-5746
Phone (267) 810-8222
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. 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.