Tiffany Nichole Payne, APRN | |
330 Casino Center Blvd, Las Vegas, NV 89101 | |
(702) 671-5637 | |
(702) 366-0576 |
Full Name | Tiffany Nichole Payne |
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Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
Location | 330 Casino Center Blvd, 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 |
---|---|---|---|
1477988095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN75931 (Nevada) | Secondary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | APRN001581 (Nevada) | Primary |
Entity Name | Serenity Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497047203 PECOS PAC ID: 3072813245 Enrollment ID: O20151120000651 |
Mailing Address | Practice Location Address |
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Tiffany Nichole Payne, APRN 8450 West Charleston Blvd, Apartment 2010, Las Vegas, NV 89117 Ph: (216) 544-4565 | Tiffany Nichole Payne, APRN 330 Casino Center Blvd, Las Vegas, NV 89101 Ph: (702) 671-5637 |
Deborah Kay Kolk, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 204 Depaul Ct, Las Vegas, NV 89144 Phone: 702-254-2029 | |
Judy C Mceachern, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 E Charleston Blvd, Ste 230, Las Vegas, NV 89104 Phone: 702-968-4020 Fax: 702-968-4040 | |
Mr. Rustin Jin Park, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 E Charleston Blvd, Suite 130, Las Vegas, NV 89104 Phone: 702-968-4020 Fax: 702-968-4040 | |
Karen Toney, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6701 Del Rey Ave, Apt 129, Las Vegas, NV 89146 Phone: 702-673-0302 | |
Julie Smink, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9177 Herrera Ave, Las Vegas, NV 89129 Phone: 702-525-5857 | |
Tina Yaeger, RN, LMT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4575 Dean Martin Dr, #3009, Las Vegas, NV 89103 Phone: 734-735-5353 | |
Quierra C Kocher, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2950 E Flamingo Rd, Las Vegas, NV 89121 Phone: 725-251-3854 |