VISITING MEDICAL CLINIC LLC NPI 1063821783

NPI Information

NPI: 1063821783
Provider Name: VISITING MEDICAL CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 29D2189265

Address:
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144
Phone: (702) 749-9979
Get Directions

VISITING MEDICAL CLINIC LLC is a family nurse practitioner in Las Vegas, NV. VISITING MEDICAL CLINIC LLC NPI is 1063821783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144-308
Phone: (702) 749-9979

The provider's authorized official is Amanda Aydin .
The authorized official title is Nurse Practitioner and has the following contact phone number (702) 475-2277.

The CLIA number assigned to this NPI record is 29D2189265 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2014 and was last updated on 7/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN001782	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »