Provider Demographics
NPI:1033526223
Name:JOSIAH-CHARLES, JOY U (CNA)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:U
Last Name:JOSIAH-CHARLES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 335435
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89033-5435
Mailing Address - Country:US
Mailing Address - Phone:702-904-3185
Mailing Address - Fax:
Practice Address - Street 1:3753 HOLLYCROFT DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6634
Practice Address - Country:US
Practice Address - Phone:702-904-3185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-19
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCNA014053376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide