Provider Demographics
NPI:1508692138
Name:TASNEEM, NOUSHEEN
Entity type:Individual
Prefix:
First Name:NOUSHEEN
Middle Name:
Last Name:TASNEEM
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 1:4650 W OAKEY BLVD APT 2018
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1515
Mailing Address - Country:US
Mailing Address - Phone:929-386-4073
Mailing Address - Fax:929-386-4073
Practice Address - Street 1:4650 W OAKEY BLVD APT 2018
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1515
Practice Address - Country:US
Practice Address - Phone:929-386-4073
Practice Address - Fax:929-386-4073
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant