Ms. Michele Marie Brock
Nurse Practitioner
5380 S Rainbow Blvd Ste 120
Las Vegas
, Nevada 89118-1878
Ms. Michele Marie Brock
Nurse Practitioner
5380 S Rainbow Blvd Ste 120
Las Vegas
, Nevada 89118-1878
(702) 802-2841
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Ms. Michele Marie Brock
- 10530 Discovery Dr
- Las Vegas, NV
- Zip : 89135-3050
- Phone : (702) 802-2841
Second Address
- Ms. Michele Marie Brock
- 5380 S Rainbow Blvd Ste 120
- Las Vegas, NV
- Zip : 89118-1878
- Phone : (702) 463-4040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | M401206 | MI |
National Provider Identifier
| NPI | 1003269192 |
|---|---|
| Provider Name | Ms. Michele Marie Brock |
| First Address | Las Vegas, NV 89135-3050 |
| Second Address | Las Vegas, NV 89118-1878 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2016 |
| Last Update Date | 20/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MI2051 | (05) | MI |
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.