Basic Information
| Provider Information | |||||||||
| NPI: | 1962671982 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEVAULL | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | RHEE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 CLEAR CROSSING TRL | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890526638 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024985226 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3001 SAINT ROSE PKWY | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890523839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026165000 | ||||||||
| FaxNumber: | 7026164696 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2008 | ||||||||
| LastUpdateDate: | 02/24/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN43820 | NV | Y | Nursing Service Providers | Registered Nurse | 163W00000X | 4704198942 | MI | N | Nursing Service Providers | Registered Nurse |
No ID Information.