Organization · Type 2 NPI

Medicotek Inc

Nurse Practitioner · Las Vegas, NV

NPI number 1790450104 Active

Practice location

6859 S Eastern Ave Ste 103
Las Vegas, NV 89119-0003

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician	207RC0000X	None listed
Psychiatry Physician	2084P0800X	None listed
Radiology Clinic/Center	261QR0200X	None listed
Nurse Practitioner Primary	363L00000X	None listed

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…

5 other providers at this address

Other nurse practitioner providers in Las Vegas

See all in Las Vegas →

NPI record

NPI: 1790450104
Entity type: Organization (Type 2)
Issued: Aug 9, 2021
Last updated: Oct 27, 2021
Status: Active
Subpart: Yes of Medicotek Inc

Other names

<unavail>
Optima Healthcare · doing business as
Optima Healthcare · doing business as

Authorized official

Marivic Luna Banal
Director
(702) 778-4838

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1790450104

Medicotek Inc's National Provider Identifier is 1790450104, issued on Aug 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 27, 2021.