Roper Ty Egan

Individual provider Active NPI Personal Emergency Response Attendant · Owyhee, NV

NPI 1376896589 · NPPES record last updated Oct 25, 2012

Key facts

NPI
1376896589
Entity type
Individual (NPI type 1)
Primary specialty
Personal Emergency Response Attendant 146D00000X
License
73148 (NV)
Practice address
1623 Hospital Rd
Owyhee, NV 89832
Phone
(775) 757-2403
Fax
(775) 757-2041
NPI assigned
Oct 25, 2012
Sex
Male
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

LicenseStateTypeSpecialty
73148NVMDPersonal Emergency Response Attendant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 73148 NV Yes

Addresses

Primary practice location

1623 Hospital Rd
Owyhee, NV 89832

Mailing address

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

Other providers in Owyhee, NV

All providers in Owyhee, NV · Personal Emergency Response Attendant in Nevada

Sources for this page

Verify at the official NPI Registry.