LIEUTENANT SUPERVILLE, PH.D
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1790458156
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 847157 (NV) |
Frequently Asked Questions
NPI 1790458156 is the National Provider Identifier for LIEUTENANT SUPERVILLE, PH.D, a Nurse Practitioner - Psychiatric/Mental Health provider located in Henderson, NV. This NPI was enumerated on July 30, 2021.
LIEUTENANT SUPERVILLE, PH.D practices at 6301 MOUNTAIN VISTA ST STE 104, Henderson, NV 89014.
Quick Facts
- NPI
- 1790458156
- Type
- Individual
- Enumerated
- Jul 30, 2021
- Last Updated
- Dec 5, 2025
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