Provider Demographics
NPI:1699835330
Name:NEZ, FLORENCE JANE (LPN)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:JANE
Last Name:NEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:NV
Mailing Address - Zip Code:89442
Mailing Address - Country:US
Mailing Address - Phone:775-574-0244
Mailing Address - Fax:775-463-2709
Practice Address - Street 1:171 CAMPBELL LANE
Practice Address - Street 2:
Practice Address - City:YERINGTON
Practice Address - State:NV
Practice Address - Zip Code:09447
Practice Address - Country:US
Practice Address - Phone:775-463-3335
Practice Address - Fax:775-463-2709
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLPN02845164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse