Provider Demographics
NPI:1669919668
Name:CARD, NOBUE (RN)
Entity type:Individual
Prefix:MRS
First Name:NOBUE
Middle Name:
Last Name:CARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:NOBUE
Other - Middle Name:
Other - Last Name:ONOMURA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN,
Mailing Address - Street 1:480 GALLETTI WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-5564
Mailing Address - Country:US
Mailing Address - Phone:775-688-3380
Mailing Address - Fax:
Practice Address - Street 1:480 GALLETTI WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5564
Practice Address - Country:US
Practice Address - Phone:775-688-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18829146N00000X
CA561163163W00000X
ZZ898999163W00000X
NVRN35948163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No163W00000XNursing Service ProvidersRegistered Nurse