Provider Demographics
NPI:1184272841
Name:HERRERA SILVA, CLARA LIZBETH
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:LIZBETH
Last Name:HERRERA SILVA
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 1:1150 BLACK CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-0697
Mailing Address - Country:US
Mailing Address - Phone:702-400-6271
Mailing Address - Fax:
Practice Address - Street 1:1150 BLACK CHERRY ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89142-0697
Practice Address - Country:US
Practice Address - Phone:702-400-6271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant