Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 8120 | NV |
Y | 207RI0011X | Interventional Cardiology | 8120 | NV |
NPI | 1023064599 |
---|---|
Provider Name | Dr. Jeannette Nee |
First Address | Las Vegas, NV 89193-8978 |
Second Address | Henderson, NV 89052-4167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 01/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023064599 | (05) | NV |
G00491 | (02) | NV |