| Ms Angela Regina Detie, APN,CNM | |
|
8480 S Eastern Ave Ste F, Las Vegas, NV 89123-2822 | |
| (702) 914-6900 | |
| (702) 914-6904 |
| Full Name | Ms Angela Regina Detie |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 8480 S Eastern Ave Ste F, 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 |
|---|---|---|---|
| 1548229768 | NPI | - | NPPES |
| 002402016 | Medicaid | NV | |
| 151678 | Other | NV | NEVADACARE PROVIDER ID |
| CC8630 | Other | NV | ANTHEM BC/BS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APN0512 (Nevada) | Primary |
| Entity Name | Iriye Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467496240 PECOS PAC ID: 2163415910 Enrollment ID: O20040406001830 |
| Entity Name | Healthcare Partners Medical Group Coats Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898 |
| Entity Name | Las Vegas Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447656988 PECOS PAC ID: 6800118522 Enrollment ID: O20141209001376 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Angela Regina Detie, APN,CNM 8480 S Eastern Ave Ste F, Las Vegas, NV 89123-2822 Ph: (702) 914-6900 | Ms Angela Regina Detie, APN,CNM 8480 S Eastern Ave Ste F, Las Vegas, NV 89123-2822 Ph: (702) 914-6900 |
Katherine Marie Brewster Hoyt-craft, APRN-CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 517 Rose St, Las Vegas, NV 89106 Phone: 702-438-4692 Fax: 702-485-2372 | |
Freda C Hamby, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1707 W Charleston Blvd # Vd, #120, Las Vegas, NV 89102 Phone: 702-671-5140 Fax: 702-385-2745 | |
Shannon Ravesi, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 517 Rose St, Las Vegas, NV 89106 Phone: 702-438-4692 Fax: 702-485-2372 | |
Rebecca Allison Helie, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9120 W Post Rd Ste 200, Las Vegas, NV 89148 Phone: 702-870-2229 Fax: 702-870-0515 | |
Patty Ann Murphy, MSN,CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1799 Mount Mariah Dr, Las Vegas, NV 89106 Phone: 702-383-1961 Fax: 702-319-6147 | |
Layna Ann Williams, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3300 E Flamingo Rd Ste 25, Las Vegas, NV 89121 Phone: 702-547-9888 Fax: 702-547-9988 | |
Mrs. Tina Marie Pearson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-7079 Fax: 702-366-7079 |