Provider Demographics
NPI:1609491505
Name:ARTHRITIS ASSOCIATES OF NEVADA
Entity Type:Organization
Organization Name:ARTHRITIS ASSOCIATES OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:O'HANLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-734-8311
Mailing Address - Street 1:8905 S PECOS RD
Mailing Address - Street 2:SUITE 23A
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074
Mailing Address - Country:US
Mailing Address - Phone:702-734-8311
Mailing Address - Fax:702-731-2871
Practice Address - Street 1:8905 S PECOS RD
Practice Address - Street 2:SUITE 23A
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074
Practice Address - Country:US
Practice Address - Phone:702-734-8311
Practice Address - Fax:702-731-2871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty