Provider Demographics
NPI:1053754788
Name:NEHRING, RAE M (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RAE
Middle Name:M
Last Name:NEHRING
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S STEPHANIE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4476
Mailing Address - Country:US
Mailing Address - Phone:702-407-0258
Mailing Address - Fax:
Practice Address - Street 1:201 S STEPHANIE ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4476
Practice Address - Country:US
Practice Address - Phone:702-407-0258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist