Provider Demographics
NPI:1134931421
Name:CHRISTIE, NONIESHAWANA A (CSFA)
Entity type:Individual
Prefix:MRS
First Name:NONIESHAWANA
Middle Name:A
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 N MONTE CRISTO WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-5805
Mailing Address - Country:US
Mailing Address - Phone:702-218-8971
Mailing Address - Fax:
Practice Address - Street 1:5055 N MONTE CRISTO WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-5805
Practice Address - Country:US
Practice Address - Phone:702-218-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV201982246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty