Cameron James Boatman
Individual provider Active NPI Counselor · Las Vegas, NV
NPI 1619413630 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1619413630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 9540 Scottville CT
Las Vegas, NV 89148-4621 - Phone
- (702) 971-1410
- NPI assigned
- Jan 13, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
9540 Scottville CT
Las Vegas, NV 89148-4621
Mailing address
9540 Scottville CT
Las Vegas, NV 89148-4621
Phone (702) 971-1410
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. 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.