Theresa Copas
Individual provider Active NPI Contractor · North Las Vegas, NV
NPI 1972925329 · NPPES record last updated Jan 19, 2014
Key facts
- NPI
- 1972925329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2321 Mistle Thrush Dr
North Las Vegas, NV 89084-2224 - Phone
- (702) 742-4134
- NPI assigned
- Jan 19, 2014
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2321 Mistle Thrush Dr
North Las Vegas, NV 89084-2224
Mailing address
2321 Mistle Thrush Dr
North Las Vegas, NV 89084-2224
Other providers in North 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 19, 2014. 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.