Individual provider · NPI-1

Mary Boyd, RN

Substance Abuse Rehabilitation Facility · Las Vegas, NV

NPI number1265814792
StatusActive
Last updated in NPPESJun 20, 2015

Details

NPI
1265814792
Entity type
Individual (NPI-1)
Name
Mary Boyd
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2015
Last updated
Jun 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation FacilityRN12926NVYes

Practice location

2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242

Phone 702-228-8520 · Fax 702-448-7205

Mailing address

7012 Edwin Aldrin Cir
Las Vegas, NV 89145-6127

Phone 702-363-3339

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