Provider Demographics
NPI:1912747544
Name:MEDINA, NOHEMI SANCHEZ
Entity type:Individual
Prefix:
First Name:NOHEMI
Middle Name:SANCHEZ
Last Name:MEDINA
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 1:1912 S MARYLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3106
Mailing Address - Country:US
Mailing Address - Phone:702-331-3650
Mailing Address - Fax:
Practice Address - Street 1:10250 SPENCER ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-6902
Practice Address - Country:US
Practice Address - Phone:831-578-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other