Provider Demographics
NPI:1578799185
Name:SYLVANIE, NANCY (EDD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:SYLVANIE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 PANCHO VIA DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5016
Mailing Address - Country:US
Mailing Address - Phone:702-492-6959
Mailing Address - Fax:
Practice Address - Street 1:221 PANCHO VIA DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5016
Practice Address - Country:US
Practice Address - Phone:702-492-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0000038769171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator