| Ms Angela Regina Detie, APN,CNM | |
|
870 Seven Hills Dr Ste 103, Henderson, NV 89052-4378 | |
| (725) 777-0414 | |
| Not Available |
| Full Name | Ms Angela Regina Detie |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 870 Seven Hills Dr Ste 103, Henderson, 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 |
| CC8630 | Other | NV | ANTHEM BC/BS PROVIDER ID |
| 151678 | Other | NV | NEVADACARE PROVIDER ID |
| 002402016 | Medicaid | NV |
| 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 870 Seven Hills Dr Ste 103, Henderson, NV 89052-4378 Ph: (725) 777-0414 | Ms Angela Regina Detie, APN,CNM 870 Seven Hills Dr Ste 103, Henderson, NV 89052-4378 Ph: (725) 777-0414 |
Marsha A Brown, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10001 S Eastern Ave, Suite 309, Henderson, NV 89052 Phone: 702-269-6345 | |
Jodie Leone Torromeo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 866 Seven Hills Dr Ste 203, Henderson, NV 89052 Phone: 725-777-0414 | |
Kam-lin D Gregory, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3039 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052 Phone: 702-478-5111 Fax: 702-602-9012 | |
Kaonoulu P. Madela, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 891 Harbor Ave, Henderson, NV 89002 Phone: 702-696-8423 |