Pernell, Andrea

Pernell, Andrea is an individual health care provider with primary practice located at 2810 W Charleston Blvd Suite 48, Las Vegas NV 89102-1921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Pernell, Andrea can be contacted via phone (702) 870-2213.

Contact Information

Primary practice address
2810 W Charleston Blvd Suite 48 Las Vegas NV 89102-1921
Phone: (702) 870-2213
Fax: (702) 870-2214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 7834 Nevada

Profile Details

NPI number 1053301580
LBN Legal business name Pernell, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053301580 NPPES
Nevada MEDICAID 002018046

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