Stephanie Lynn Atiyeh, PA-C
Individual provider Active NPI Physician Assistant · Las Vegas, NV
NPI 1487199501 · NPPES record last updated Apr 22, 2019
Key facts
- NPI
- 1487199501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA1805 (NV)
- Practice address
- 653 N Town Center Dr Ste 512
Las Vegas, NV 89144-0519 - Phone
- (702) 796-7546
- Fax
- (702) 255-3223
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1805 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Dermatology LLC | Past | Accepting new patients | |
| Stephen William Doggett, M.D. PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1805 | NV | Yes |
Addresses
Primary practice location
653 N Town Center Dr Ste 512
Las Vegas, NV 89144-0519
Mailing address
653 N Town Center Dr Ste 512
Las Vegas, NV 89144-0519
Phone (702) 796-7546
Other providers in Las Vegas, NV
- Ati Inc
- Nilda Alabro Atienza-Isman
- Danica San Agustin Atienza
- Katelyne May Atijera
- Kariz Atiq
- Jackalyn Atkins Thornton
- Pamelia Atkins-Girouard
- Angela Yvette Atkins
- Karen M Atkins
- Linda Atkins
All providers in Las Vegas, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2019. 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.