Provider Demographics
NPI:1275134892
Name:NZENE, JULIETTE E
Entity Type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:E
Last Name:NZENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 DUNROBIN CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2210
Mailing Address - Country:US
Mailing Address - Phone:443-509-6544
Mailing Address - Fax:
Practice Address - Street 1:7445 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1538
Practice Address - Country:US
Practice Address - Phone:702-407-5513
Practice Address - Fax:702-407-5591
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist