IndividualActive
Tashae Dupree, ADMINISTRATOR
NPI 1336494400 · Nursing Home Administrator · N Las Vegas, NV
Provider details
- NPI number
- 1336494400
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- ADMINISTRATOR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7368HIC-0 (NV)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
609 Orr Ave
N Las Vegas, NV 89030-5688
Phone: (702) 688-2079
Fax: (702) 658-8702
Approximate (ZIP-level) locationGet directions
Mailing address
609 Orr Ave
N Las Vegas, NV 89030
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2012-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.