JEANNE MUTONGERWA
NPI 1477008001
Registered Nurse - Home Health in Las Vegas, NV
Active since August 24, 2016
About Jeanne Mutongerwa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNE MUTONGERWA (NPI 1477008001) is an individual home health provider in Las Vegas, Nevada, licensed in Nevada (838925) and active in the NPI registry since August 2016. She maintains a secondary practice location in Modesto.
NPPES Registry Identity
NPI1477008001
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameJEANNE MUTONGERWA
Location Address4040 S EASTERN AVE STE 300Las Vegas, NV 89119-0854
Mailing Address4040 S Eastern Ave Ste 300Las Vegas, NV 89119-0854 · (702) 463-0300
Phone(702) 463-0300
Sole ProprietorYes
Enumeration DateAugust 24, 2016
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1477008001 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in NV · 838925
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License VN205543 (CA)
4040 S EASTERN AVE STE 300, Las Vegas, NV 89119
Secondary Practice Location 1
Location 11229 Markham AveModesto, CA 95358-6910 · Phone (702) 960-6133
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Registered Nurse (Case Management)
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
Registered Nurse (Home Health)
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
Registered Nurse (Home Health)
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
Registered Nurse (General Practice)
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477008001, enumerated as an "individual" on August 24, 2016.
The provider is located at 4040 S EASTERN AVE STE 300 LAS VEGAS, NV 89119 and the phone number is (702) 463-0300.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.