Audrey M Nissen, is a
Speech-language Pathologist based in Boulder City, Nevada. Audrey M Nissen is licensed to practice in Nevada (license number SP-2840) and her current practice location is
100 Veterans Memorial Dr, Boulder City, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 332-6784.
NPI number for Audrey M Nissen is 1649874603 and her current mailing address is 100 Veterans Memorial Dr, Boulder City, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649874603.
Healthcare Provider's Profile
Full Name | Audrey M Nissen |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 100 Veterans Memorial Dr, Boulder City, Nevada |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649874603
- Provider Enumeration Date: 11/30/2020
- Last Update Date: 11/30/2020
Medical Identifiers
Medical identifiers for Audrey M Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649874603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP-2840 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey M Nissen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Audrey M Nissen, 100 Veterans Memorial Dr, Boulder City, NV 89005-1926 Ph: (702) 332-6784 | Audrey M Nissen, 100 Veterans Memorial Dr, Boulder City, NV 89005-1926 Ph: (702) 332-6784 |
Reviews and Comments