Provider Demographics
NPI:1720490493
Name:CAFFREY, SIOBHAN (RN, CLC)
Entity Type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 MEGAN DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-2774
Mailing Address - Country:US
Mailing Address - Phone:702-612-9645
Mailing Address - Fax:702-897-9611
Practice Address - Street 1:46 MEGAN DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-2774
Practice Address - Country:US
Practice Address - Phone:702-612-9645
Practice Address - Fax:702-897-9611
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN56397163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant