Provider Demographics
NPI:1679899231
Name:ECHEVERRI, CLARA (RN)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:ECHEVERRI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9065 S PECOS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7187
Mailing Address - Country:US
Mailing Address - Phone:702-836-0961
Mailing Address - Fax:702-836-0964
Practice Address - Street 1:9065 S PECOS RD
Practice Address - Street 2:SUITE 240
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7187
Practice Address - Country:US
Practice Address - Phone:702-836-0961
Practice Address - Fax:702-836-0964
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVRN51334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine