Organization · NPI-2

Everside Health Local 14 Henderson Dispensing

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Henderson, NV

NPI number1427737626
StatusActive
Last updated in NPPESJul 14, 2023

Details

NPI
1427737626
Entity type
Organization (NPI-2)
Legal business name
Everside Health Local 14 Henderson Dispensing
Organization subpart
No
Enumeration date
Jul 14, 2023
Certification date
Jul 14, 2023
Last updated
Jul 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine––Yes

Practice location

2739 Sunridge Heights Pkwy Ste 100
Henderson, NV 89052-5043

Phone 704-661-1380

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Authorized official

Jill Johnson Patton
Director Of Risk Management
7049365546

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