Audrey M Nissen, - Speech-Language Pathologist in Boulder City, NV

Audrey M Nissen, is a Speech-language Pathologist based in Boulder City, Nevada. Audrey M Nissen is licensed to practice in Nevada (license number SP-2840) and her current practice location is 100 Veterans Memorial Dr, Boulder City, Nevada. She can be reached at her office (for appointments etc.) via phone at (702) 332-6784.

NPI number for Audrey M Nissen is 1649874603 and her current mailing address is 100 Veterans Memorial Dr, Boulder City, Nevada. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649874603.

Contact Information

Audrey M Nissen,
100 Veterans Memorial Dr,
Boulder City, NV 89005-1926
(702) 332-6784
Not Available



Healthcare Provider's Profile

Full NameAudrey M Nissen
GenderFemale
SpecialitySpeech-language Pathologist
Location100 Veterans Memorial Dr, Boulder City, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649874603
  • Provider Enumeration Date: 11/30/2020
  • Last Update Date: 11/30/2020

Medical Identifiers

Medical identifiers for Audrey M Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649874603NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SP-2840 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey M Nissen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audrey M Nissen,
100 Veterans Memorial Dr,
Boulder City, NV 89005-1926

Ph: (702) 332-6784
Audrey M Nissen,
100 Veterans Memorial Dr,
Boulder City, NV 89005-1926

Ph: (702) 332-6784

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› Verified 3 days ago


Speech-Language Pathologist in Boulder City, NV

Carissa Deleeuw, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Veterans Memorial Dr, Boulder City, NV 89005
Phone: 888-531-2204    Fax: 855-232-8604

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