Provider Demographics
NPI:1316572670
Name:MEIVY BARRIONUEVO
Entity Type:Organization
Organization Name:MEIVY BARRIONUEVO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEIVY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIONUEVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-406-9040
Mailing Address - Street 1:5390 OXBOW ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-2864
Mailing Address - Country:US
Mailing Address - Phone:702-406-9040
Mailing Address - Fax:
Practice Address - Street 1:5390 OXBOW ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-2864
Practice Address - Country:US
Practice Address - Phone:702-406-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty