Provider Demographics
NPI:1942822754
Name:CHIRINUS, HAIDI
Entity Type:Individual
Prefix:MISS
First Name:HAIDI
Middle Name:
Last Name:CHIRINUS
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 1:6040 DESERT SUN DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-1831
Mailing Address - Country:US
Mailing Address - Phone:702-986-3820
Mailing Address - Fax:
Practice Address - Street 1:6040 DESERT SUN DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-1831
Practice Address - Country:US
Practice Address - Phone:702-986-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider