Organization · Type 2 NPI

Integrated Medical Group Eastern Region Inc

Nurse Practitioner · Las Vegas, NV

NPI number 1760815922 Active

Practice location

3230 S Buffalo Dr, Suite 105
Las Vegas, NV 89117-2505

Call (224) 558-9705 Map

Fax (702) 990-7371

Mailing address

9957 Moorings Dr, Suite 204
Jacksonville, FL 32257-2412

Specialties and licenses

Taxonomy	Code	License
Preferred Provider Organization	305R00000X	P13000057299 (FL)
Nurse Practitioner Primary	363L00000X	P13000057299 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1760815922

Integrated Medical Group Eastern Region Inc's National Provider Identifier is 1760815922, issued on Aug 12, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 12, 2013.