Provider Demographics
NPI:1235991415
Name:EMBERTON, ALISON EMILIA (CHW I)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:EMILIA
Last Name:EMBERTON
Suffix:
Gender:F
Credentials:CHW I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 E LAKE MEAD PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6443
Mailing Address - Country:US
Mailing Address - Phone:702-399-0348
Mailing Address - Fax:702-636-5448
Practice Address - Street 1:98 E LAKE MEAD PKWY STE 103
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-6443
Practice Address - Country:US
Practice Address - Phone:702-399-0348
Practice Address - Fax:702-636-5448
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker