Provider Demographics
NPI:1962874198
Name:DR. ADRIENNE K. STAUFFER DC PLLC
Entity type:Organization
Organization Name:DR. ADRIENNE K. STAUFFER DC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-209-2722
Mailing Address - Street 1:9630 W SKYE CANYON PARK DR STE 160
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6616
Mailing Address - Country:US
Mailing Address - Phone:702-209-2722
Mailing Address - Fax:702-209-2243
Practice Address - Street 1:9630 W SKYE CANYON PARK DR STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-6616
Practice Address - Country:US
Practice Address - Phone:702-209-2722
Practice Address - Fax:702-209-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty