Provider Demographics
NPI:1538190491
Name:DOLLARHIDE, ROPER LEE (DC, FNP-C)
Entity type:Individual
Prefix:
First Name:ROPER
Middle Name:LEE
Last Name:DOLLARHIDE
Suffix:
Gender:M
Credentials:DC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 W SAHARA AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0308
Mailing Address - Country:US
Mailing Address - Phone:702-368-0508
Mailing Address - Fax:702-368-2049
Practice Address - Street 1:5445 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0308
Practice Address - Country:US
Practice Address - Phone:702-368-0508
Practice Address - Fax:702-368-2049
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB720111N00000X
NV846277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV33721Medicare ID - Type Unspecified
NVU69653Medicare UPIN