MS. MINNIE ELIZABETH WOOD (NPI# 1205021474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205021474 |
| Entity Type | Individual |
| Full Name | MS. MINNIE ELIZABETH WOOD |
| Other Name | MS. MINNIE ELIZABETH CANCELLARO |
| Credential | NP |
| Practice Address |
1200 S 4th St Ste 111 Las Vegas NV 89104-1046 |
| Practice Telephone | (702) 380-8118 |
| Practice Fax Number | 7023802929 |
| Mailing Telephone | (702) 380-8118 |
| Mailing Fax Number | 7023802929 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 661205 | CA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 17447 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
APRN001647 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 S 4TH ST STE 111 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758197 | Kenneth Jarvis | Podiatrist | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2005-05-27 |
| 1548804529 | First Person Care Clinic | Counselor | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2019-11-01 |
| 1487215141 | Janice C Owens | Nurse Practitioner | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2019-06-24 |
| 1861752701 | Ivonne Draughon | Nurse Practitioner | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2012-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076873 | Monteray Sellers Deandre Mcgee | Nurse Practitioner | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2019-07-31 |
| 1023400652 | Copes Comfort Care Foundation | Nurse Practitioner | 1230 W Owens Ave Ste 6, Las Vegas, NV 89106-2451 | 2015-02-18 |
| 1790121978 | Patricia A Palmer | Nurse Practitioner | 930 N 4th St, Las Vegas, NV 89101-1001 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598112278 | Lewis Health Solutions Inc. | Nurse Practitioner | 10120 S Eastern Ave Ste 203, Henderson, NV 89052-3926 | 2016-05-23 |
Please comment or provide details below to improve the information on MS. MINNIE ELIZABETH WOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.