Organization · Type 2 NPI
In Good Health Professional Corporation
Gerontology Nurse Practitioner · Las Vegas, NV
NPI number
1770163214
Active
Practice location
5495 S Rainbow Blvd Ste 202B
Las Vegas, NV 89118-1873
Fax (702) 989-4805
Mailing address
5920 S Rainbow Blvd Ste 5
Las Vegas, NV 89118-4209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1770163214
In Good Health Professional Corporation's National Provider Identifier is 1770163214, issued on Apr 9, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 31, 2023.