Organization · Type 2 NPI
Forma Integrated Healthcare
Specialist · Las Vegas, NV
NPI number
1023964657
Active
Practice location
2655 S Rainbow Blvd Ste 410
Las Vegas, NV 89146-5100
Fax (702) 906-0067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Psychologist | 103TF0000X | None listed |
| Wound Care Registered Nurse | 163WW0000X | None listed |
| Specialist Primary | 174400000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1023964657
Forma Integrated Healthcare's National Provider Identifier is 1023964657, issued on Mar 6, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 9, 2026.