Tamara Booker

Individual provider Active NPI Personal Care Attendant · Henderson, NV

NPI 1760950612 · NPPES record last updated Nov 8, 2018

Key facts

NPI
1760950612
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1701 N Green Valley Pkwy Ste 9a
Henderson, NV 89074-5991
Phone
(702) 407-1100
NPI assigned
Nov 8, 2018
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1701 N Green Valley Pkwy Ste 9a
Henderson, NV 89074-5991

Mailing address

1701 N Green Valley Pkwy Ste 9a
Henderson, NV 89074-5991
Phone (702) 407-1100

Other providers in Henderson, NV

All providers in Henderson, NV · Personal Care Attendant in Nevada

Sources for this page

Verify at the official NPI Registry.