BERNARD MILES BLANKS APRN-CRN
NPI 1437774825
Nurse Practitioner - Family in Las Vegas, NV
Active since June 11, 2020
About Bernard Miles Blanks Aprn-crn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERNARD MILES BLANKS APRN-CRN (NPI 1437774825) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (827904) and active in the NPI registry since June 2020.
NPPES Registry Identity
NPI1437774825
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBERNARD MILES BLANKSCredential: APRN-CRN
Location Address2150 S RAINBOW BLVDLas Vegas, NV 89146-2982
Mailing Address2595 S Tenaya WayLas Vegas, NV 89117-2903 · (646) 765-4267
Phone(702) 838-4644
Fax(702) 320-1142
Sole ProprietorNo
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1437774825 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 827904
2150 S RAINBOW BLVD, Las Vegas, NV 89146
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437774825, enumerated as an "individual" on June 11, 2020.
The provider is located at 2150 S RAINBOW BLVD LAS VEGAS, NV 89146 and the phone number is (702) 838-4644.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
