Dr RAVEN D ENNIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012 from University Of Nevada School Of Medicine.
ALLIANCE MENTAL HEALTH SPECIALISTS SUBA PARK PIERSON PLLC
4270 S DECATUR BLVD
SUITE B6
LAS VEGAS
NV
891036802
Tel: 7024852100
| Npi | 1407278757 |
| Pac Id | 6507146651 |
| Professional Enrollment Id | I20161206001905 |
| Last Name | ENNIS |
| First Name | RAVEN |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | ALLIANCE MENTAL HEALTH SPECIALISTS SUBA PARK PIERSON PLLC |
| Group Practice Pac Id | 1153616693 |
| Number Of Group Practice Members | 20 |
| Line 1 Street Address | 4270 S DECATUR BLVD |
| Line 2 Street Address | SUITE B6 |
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| City | LAS VEGAS |
| State | NV |
| Zip Code | 891036802 |
| Phone Number | 7024852100 |
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| Professional Accepts Medicare Assignment | Y |
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