Provider Demographics
NPI:1205902152
Name:NEVADA SCHOOL DISTRICT
Entity type:Organization
Organization Name:NEVADA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LEN
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:870-871-2475
Mailing Address - Street 1:6580 HWY 278
Mailing Address - Street 2:
Mailing Address - City:WALDO
Mailing Address - State:AR
Mailing Address - Zip Code:71770
Mailing Address - Country:US
Mailing Address - Phone:870-871-2475
Mailing Address - Fax:870-871-2419
Practice Address - Street 1:6580 HWY 278
Practice Address - Street 2:
Practice Address - City:WALDO
Practice Address - State:AR
Practice Address - Zip Code:71770
Practice Address - Country:US
Practice Address - Phone:870-871-2475
Practice Address - Fax:870-871-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty