Dr. Andrea Pernell
Physical Medicine & Rehabilitation Doctor
2810 W Charleston Blvd Suite 48
Las Vegas
, Nevada 89102-1921
Dr. Andrea Pernell
Physical Medicine & Rehabilitation Doctor
2810 W Charleston Blvd Suite 48
Las Vegas
, Nevada 89102-1921
(702) 870-2214
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Andrea Pernell
- Po Box 400205
- Las Vegas, NV
- Zip : 89140-0205
- Fax : (702) 870-2214
- Phone : (702) 566-2455
Second Address
- Dr. Andrea Pernell
- 2810 W Charleston Blvd Suite 48
- Las Vegas, NV
- Zip : 89102-1921
- Fax : (702) 870-2214
- Phone : (702) 870-2213
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 7834 | NV |
National Provider Identifier
| NPI | 1053301580 |
|---|---|
| Provider Name | Dr. Andrea Pernell |
| First Address | Las Vegas, NV 89140-0205 |
| Second Address | Las Vegas, NV 89102-1921 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 29/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002018046 | (05) | NV |
| E92797 | (02) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.