Organization · Type 2 NPI

Golden Victory Medical

Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV

NPI number 1609360254 Active

Practice location

2870 S Maryland Pkwy Ste 200
Las Vegas, NV 89109-1580

Mailing address

2505 Anthem Village Dr Ste E-101
Henderson, NV 89052-5505

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Internal Medicine Physician 207R00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609360254

Golden Victory Medical's National Provider Identifier is 1609360254, issued on Jun 18, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 28, 2022.