OMONIGHO EDITH USIGBE


Address: 2270 Losee Rd Suite B, Suite B, North Las Vegas, NV 89030
Phone: (702) 399-1070

OMONIGHO EDITH USIGBE (NPI# 1205350006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205350006
Entity Type Individual
Full Name OMONIGHO EDITH USIGBE
Practice Address 2270 Losee Rd Suite B
Suite B
North Las Vegas
NV 89030
Mailing Address 2270 Losee Rd Ste B
North Las Vegas
NV 89030-4109
Practice Telephone (702) 399-1070
Practice Fax Number 7023991070
Mailing Telephone 7023991070
Mailing Fax Number 7023991070
Enumeration Date 2017-08-02
Last Update Date 2017-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Office Location

Street Address 2270 LOSEE RD SUITE B
SUITE B
City NORTH LAS VEGAS
State NV
Zip Code 89030

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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1093105181 Raquel Campbell Psychologist 3716 Bach Way, North Las Vegas, North Las Vegas, NV 89032-0628 2015-01-28
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1376974998 Linda Yarbrough Psychologist 5829 Magic Oak St, North Las Vegas, NV 89031-6884 2013-12-07
1730510355 Adrine Duncan Psychologist 3515 Rose Canyon Dr, North Las Vegas, NV 89032-7864 2013-12-07
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Competitor

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City NORTH LAS VEGAS
Zip Code 89030

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Dataset Information

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.

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