| Shurtleff Family Practice | |
|
38 S Water St Ste 200 Henderson NV 89015-7223 | |
| (702) 545-0808 | |
| (702) 998-4220 |
| Full Name | Shurtleff Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 38 S Water St Ste 200, Henderson, Nevada |
| Authorized Official Name and Position | Kristina P Shurtleff (PRESIDENT) |
| Authorized Official Contact | 7025450808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shurtleff Family Practice 35 E Horizon Ridge Pkwy Ste 110 Henderson NV 89002-7906 Ph: (702) 545-0808 | Shurtleff Family Practice 38 S Water St Ste 200 Henderson NV 89015-7223 Ph: (702) 545-0808 |
| NPI Number | 1518262989 |
|---|---|
| Provider Enumeration Date | 01/17/2011 |
| Last Update Date | 04/05/2011 |
| Medicare PECOS PAC ID | 4183807043 |
|---|---|
| Medicare Enrollment ID | O20110330000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518262989 | NPI | - | NPPES |
| Provider Name | Kristina P Shurtleff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811916216 PECOS PAC ID: 0749305639 Enrollment ID: I20100915000966 |
| Provider Name | Katie Mechele Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619582459 PECOS PAC ID: 6800208372 Enrollment ID: I20201208001291 |
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