CHANGING MINDS MEDICINE NPI 1205455961

NPI Information

CHANGING MINDS MEDICINE is a family nurse practitioner in Las Vegas, NV. CHANGING MINDS MEDICINE NPI is 1205455961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

911 N BUFFALO DR UNIT 213
LAS VEGAS, NV
ZIP 89128-381
Phone: (702) 467-3559
Fax: (702) 405-6066

The provider's authorized official is Jamie Lynn Brown .
The authorized official title is Business Manager and has the following contact phone number (702) 405-8088.

The CLIA number assigned to this NPI record is 29D2154642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2020 and was last updated on 4/13/2020.

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:

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