Provider Demographics
NPI:1174190805
Name:CHERVITZ, PATTI (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:
Last Name:CHERVITZ
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALLIANCE MENTAL HEALTH SPECIALISTS
Mailing Address - Street 2:4270 S DECATUR BLVD B6
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3611
Mailing Address - Country:US
Mailing Address - Phone:702-485-2100
Mailing Address - Fax:
Practice Address - Street 1:ALLIANCE MENTAL HEALTH SPECIALISTS
Practice Address - Street 2:4270 S DECATUR BLVD B6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3611
Practice Address - Country:US
Practice Address - Phone:702-485-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV842700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty