NPI 1023858503

Vickie L Pattillo, PEERSUPORT

Practitioner Peer Specialist Las Vegas, NV

Practice location

Address: 3441 W Sahara Ave STE C1, Las Vegas, NV 89102-6059
Phone: (702) 445-7318

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence PRSS-INT-5131 (NV)

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Registry record

NPI: 1023858503
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2024
Record last updated: 30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.