Provider Demographics
NPI:1396637062
Name:FLURY, BIANCA JOY (DC)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:JOY
Last Name:FLURY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 COBBLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-5913
Mailing Address - Country:US
Mailing Address - Phone:856-685-3971
Mailing Address - Fax:
Practice Address - Street 1:2208 S NELLIS BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-6211
Practice Address - Country:US
Practice Address - Phone:702-431-7696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB0212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor