Heather Waldroup
Home Health Aide in Las Vegas, NV. Individual provider (NPI-1).
NPI number1417543190
StatusActive
Last updated in NPPESDec 16, 2020
Details
- NPI
- 1417543190
- Entity type
- Individual (NPI-1)
- Name
- Heather Waldroup
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2020
- Certification date
- Dec 16, 2020
- Last updated
- Dec 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
2700 E Sunset Rd Ste 17Las Vegas, NV 89120-3508
Phone 702-476-8809
Mailing address
2700 E Sunset Rd Ste 17Las Vegas, NV 89120-3508
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