Provider Demographics
NPI:1295401677
Name:CURTIS, MICHELE ROBERTS
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ROBERTS
Last Name:CURTIS
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 1:4361 APONTE ST APT 203
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-1632
Mailing Address - Country:US
Mailing Address - Phone:702-904-2819
Mailing Address - Fax:
Practice Address - Street 1:4361 APONTE ST APT 203
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-1632
Practice Address - Country:US
Practice Address - Phone:702-904-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant