Individual provider · Type 1 NPI

Marsean Jerelle Hardaway, YOUTH INTAKE ADMIN

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1245910413 Active

Practice location

9001 Haviland Rd
Las Vegas, NV 89123-0619

Call (702) 462-0067 Map

Mailing address

PO Box 633
Salt Lake City, UT 84110-0633

Specialties and licenses

TaxonomyCodeLicense
Personal Emergency Response Attendant 146D00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245910413

Marsean Jerelle Hardaway, YOUTH INTAKE ADMIN's National Provider Identifier is 1245910413, issued on Jul 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 21, 2023.