Provider Demographics
NPI:1285304196
Name:NORWOOD-BOUNDS, VERNIE KAYE
Entity type:Individual
Prefix:
First Name:VERNIE
Middle Name:KAYE
Last Name:NORWOOD-BOUNDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 DORRELL LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2811
Mailing Address - Country:US
Mailing Address - Phone:682-888-7971
Mailing Address - Fax:
Practice Address - Street 1:4900 DORRELL LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2811
Practice Address - Country:US
Practice Address - Phone:682-888-7971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherNONE