1104827492 Mullissa Michelle Childress, APRN
Primary Care Nurse Practitioner
Reactivated
Basic Information
- Full Name
- Mullissa Michelle Childress, APRN
- Gender
- Female
- Enumeration Date
- August 9, 2005
- Last Update
- August 21, 2024
- Deactivation Date
- May 26, 2006
- Reactivation Date
- August 14, 2014
Practice Location
- Address
- 222 S RAINBOW BLVD STE 115
LAS VEGAS, NV 891455343 - Phone
- (702) 406-4125
- Fax
- (702) 745-0452
Mailing Address
- Address
- 5300 BRIGHT SUN CT
LAS VEGAS, NV 891303728 - Phone
- (614) 496-8420
- Fax
- (702) 745-0452
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Nurse Practitioner Family | 363LF0000X | Nurse Practitioner | F0714788 | OH | No |
| Primary Care Nurse Practitioner Primary Care | 363LP2300X | Nurse Practitioner | 16446-NP | OH | No |
| Primary Care Nurse Practitioner Primary Care | 363LP2300X | Nurse Practitioner | APRN002193 | NV | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0129662 | 05 | OH | N/A |
| 0113011 | 05 | OH | N/A |
Frequently Asked Questions
What is Mullissa Michelle Childress, APRN's NPI number?
Mullissa Michelle Childress, APRN's NPI number is 1104827492.
Which doctor has NPI number 1104827492?
The doctor with NPI number 1104827492 is Mullissa Michelle Childress, APRN.
What is Mullissa Michelle Childress, APRN's practice address?
Mullissa Michelle Childress, APRN's practice address is 222 S RAINBOW BLVD STE 115, LAS VEGAS, NV, 891455343.
Which doctor practices at 222 S RAINBOW BLVD STE 115, LAS VEGAS, NV, 891455343?
Mullissa Michelle Childress, APRN practices at 222 S RAINBOW BLVD STE 115, LAS VEGAS, NV, 891455343.
What is Mullissa Michelle Childress, APRN's mailing address?
Mullissa Michelle Childress, APRN's mailing address is 5300 BRIGHT SUN CT, LAS VEGAS, NV, 891303728.
What is Mullissa Michelle Childress, APRN's phone number?
Mullissa Michelle Childress, APRN's phone number is (702) 406-4125.
Who is (702) 406-4125?
(702) 406-4125 is the phone number for Mullissa Michelle Childress, APRN.
What is Mullissa Michelle Childress, APRN's specialty?
Mullissa Michelle Childress, APRN's specialty is Primary Care Nurse Practitioner.
What type of doctor is Mullissa Michelle Childress, APRN?
Mullissa Michelle Childress, APRN is a Primary Care Nurse Practitioner.
Is Mullissa Michelle Childress, APRN a Primary Care?
Yes, Mullissa Michelle Childress, APRN is a Primary Care.
Is Mullissa Michelle Childress, APRN still practicing?
Yes, Mullissa Michelle Childress, APRN has reactivated their practice and is currently practicing.
Is Mullissa Michelle Childress, APRN accepting new patients?
Mullissa Michelle Childress, APRN may be accepting new patients. Please call their office at (702) 406-4125 to inquire about availability.
Is NPI 1104827492 still active?
Yes, NPI 1104827492 has been reactivated and is currently active.
Where does Mullissa Michelle Childress, APRN practice?
Mullissa Michelle Childress, APRN practices in LAS VEGAS, NV.
Is Mullissa Michelle Childress, APRN a male or female doctor?
Mullissa Michelle Childress, APRN is a female doctor.