Provider Demographics
NPI:1477436228
Name:BATTLE, MICHAEL III (RN)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:BATTLE
Suffix:III
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 CASCADE RIVER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2775
Mailing Address - Country:US
Mailing Address - Phone:909-330-9047
Mailing Address - Fax:
Practice Address - Street 1:3753 HOWARD HUGHES PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0952
Practice Address - Country:US
Practice Address - Phone:725-200-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV861312163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical