| Organization Name: | STATE OF NEVADA |
| NPI Number: | 1386805265 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE LOHMAN (SSPS) |
| Mailing Address: | 1000 E Williams Street #205 Carson City |
| State: | NV US |
| Postal Code: | 80701 |
| Phone Number: | 7756843703 |
| Fax Number: | 7756843772 |
| NPI Enumeration Date: | 06/23/2008 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |