OLYMPIC MEDICAL NPI 1174176143

NPI Information

NPI: 1174176143
Provider Name: OLYMPIC MEDICAL
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2980 S JONES BLVD STE C
LAS VEGAS, NV
ZIP 89146
Phone: (952) 923-7256
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OLYMPIC MEDICAL is a psychiatric/mental health nurse practitioner in Las Vegas, NV. OLYMPIC MEDICAL NPI is 1174176143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2980 S JONES BLVD STE C
LAS VEGAS, NV
ZIP 89146-657
Phone: (952) 923-7256
Fax: (702) 442-9793

The provider's authorized official is Elizabeth C Brown .
The authorized official title is Owner/aprn and has the following contact phone number (952) 923-7256.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 7/18/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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

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