Provider / Organization | NPI | Date Certified |
---|---|---|
MARK MCCREATH | 1316698822 | 2022-01-16 |
Mark Mccreath is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316698822. Registration indicates Mark Mccreath is a provider of services with a specialization in Nursing Service Related Providers, Home Health Aide (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers)
Entity Type | Individual |
Provider Name | Mark Mccreath |
Practice Office Address | 3435 W CRAIG RD STE C NORTH LAS VEGAS, NV US |
Practice Office Telephone | 7029293297 |
Mailing Address | 3435 W CRAIG RD STE C NORTH LAS VEGAS, NV 890325116 US |
Code | Practice | License No State |
---|---|---|
374U00000X PRIMARY | Nursing Service Related Providers Home Health Aide Home Health Aide Home Health Aide Nursing Service Related Providers | 1306384219
NV |
1306384219 | MEDICAID | NV |