FIRSTMED HEALTH AND WELLNESS CENTER INC NPI 1396054169

NPI Information

FIRSTMED HEALTH AND WELLNESS CENTER INC is a family nurse practitioner in Las Vegas, NV. FIRSTMED HEALTH AND WELLNESS CENTER INC NPI is 1396054169. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3343 S EASTERN AVE
LAS VEGAS, NV
ZIP 89169-312
Phone: (702) 731-0909
Fax: (702) 731-1020

The provider's authorized official is Andrea Quinn .
The authorized official title is Ceo and has the following contact phone number (702) 731-0909.

The CLIA number assigned to this NPI record is 29D1081648 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 11/19/2018.

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:

Other Identifiers

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