Provider Demographics
NPI:1356888226
Name:LOVIS, SOLINE (RN)
Entity type:Individual
Prefix:
First Name:SOLINE
Middle Name:
Last Name:LOVIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SOLINE
Other - Middle Name:
Other - Last Name:ALTIDOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2968 E RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120
Mailing Address - Country:US
Mailing Address - Phone:702-385-5331
Mailing Address - Fax:
Practice Address - Street 1:2968 E RUSSELL RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-385-5331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2024-06-17
Deactivation Date:2024-03-15
Deactivation Code:
Reactivation Date:2024-06-14
Provider Licenses
StateLicense IDTaxonomies
225400000X
NVRN59770163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner