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FIRST PERSON CARE CLINIC NPI 1407219611


NPI Information

NPI: 1407219611
Provider Name: FIRST PERSON CARE CLINIC

Doing Business As: HUNTRIDGE TEEN CLINIC

Classification: Nurse Practitioner - 363LC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 29D2057303

Address:
2100 S MARYLAND PKWY
SUITE 1
LAS VEGAS, NV
ZIP 89104
Phone: (702) 732-8776
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FIRST PERSON CARE CLINIC is a community health nurse practitioner in Las Vegas, NV. FIRST PERSON CARE CLINIC NPI is 1407219611. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Huntridge Teen Clinic.

The provider's business location address is:

2100 S MARYLAND PKWY
SUITE 1
LAS VEGAS, NV
ZIP 89104-230
Phone: (702) 732-8776
Fax: (702) 369-2162

The provider's authorized official is Roxana Valeton .
The authorized official title is Ceo and has the following contact phone number (702) 380-8118.

The CLIA number assigned to this NPI record is 29D2057303 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2016 and was last updated on 9/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinicalNo
31041S0200XSocial WorkerSchoolNo
4207Q00000XFamily MedicineNo
5363LC1500XNurse PractitionerCommunity HealthYes
6364SC1501XClinical Nurse SpecialistCommunity Health/Public HealthNo
7364SP0810XClinical Nurse SpecialistPsychiatric/Mental Health, Child & FamilyNo
8103K00000XBehavior AnalystNo

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

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.