Provider Demographics
NPI:1457890782
Name:CUTLER, LOUISE L
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:L
Last Name:CUTLER
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 1:1001 ADOBE FLAT DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-1895
Mailing Address - Country:US
Mailing Address - Phone:702-275-6408
Mailing Address - Fax:702-435-2807
Practice Address - Street 1:1001 ADOBE FLAT DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-1895
Practice Address - Country:US
Practice Address - Phone:702-275-6408
Practice Address - Fax:702-435-2807
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator