Daisha B Wilson, | |
9175 Las Vegas Blvd S, Suite 110, Las Vegas, NV 89123-3359 | |
(702) 240-9355 | |
(702) 240-9355 |
Full Name | Daisha B Wilson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9175 Las Vegas Blvd S, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922364579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 901643 (Mississippi) | Primary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
Entity Name | Lifelinc Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
Mailing Address | Practice Location Address |
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Daisha B Wilson, 9175 Las Vegas Blvd S, Suite 110, Las Vegas, NV 89123-3359 Ph: (702) 240-9355 | Daisha B Wilson, 9175 Las Vegas Blvd S, Suite 110, Las Vegas, NV 89123-3359 Ph: (702) 240-9355 |
Morgan Che' Beeson, RN, MSN, CCRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 Phone: 702-878-0070 Fax: 702-209-2064 | |
Gian Fule, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-209-2064 | |
Edgar Escobar, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 | |
Johnette M Seecof, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-877-8661 | |
Mr. David Thomas Kwiatkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6008 Ridgecarn Ave, Las Vegas, NV 89130 Phone: 702-644-2124 | |
Kristi Vick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-878-0070 | |
Mr. Vance Glenn Gainer Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Las Vegas, NV 89191 Phone: 702-653-3526 |