Provider Demographics
NPI:1386448371
Name:GIVENS, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:GIVENS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5312 CORY PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3758
Mailing Address - Country:US
Mailing Address - Phone:702-772-0614
Mailing Address - Fax:
Practice Address - Street 1:5312 CORY PL
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3758
Practice Address - Country:US
Practice Address - Phone:702-772-0614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker