Organization · Type 2 NPI

Healthy Lifeline LLC

Primary Care Nurse Practitioner · Las Vegas, NV

NPI number 1629871744 Active

Practice location

3557 Winter Wren St
Las Vegas, NV 89122-3539

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Allergy & Immunology (Internal Medicine) Physician 207RA0201XNone listed
Critical Care Medicine (Internal Medicine) Physician 207RC0200XNone listed
Infectious Disease Physician 207RI0200XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Nurse Practitioner 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

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About NPI 1629871744

Healthy Lifeline LLC's National Provider Identifier is 1629871744, issued on Apr 1, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 1, 2025.