CRESCENT HEALTH LLC NPI 1417573148

NPI Information

NPI: 1417573148
Provider Name: CRESCENT HEALTH LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 29D2159217

Address:
6480 CREST ESTATES ST
LAS VEGAS, NV
ZIP 89131
Phone: (702) 528-2195
Get Directions

CRESCENT HEALTH LLC is a family nurse practitioner in Las Vegas, NV. CRESCENT HEALTH LLC NPI is 1417573148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6480 CREST ESTATES ST
LAS VEGAS, NV
ZIP 89131-253
Phone: (702) 528-2195
Fax: (702) 778-8026

The provider's authorized official is Magdalena Rodriguez .
The authorized official title is Ceo/fnp and has the following contact phone number (702) 608-3574.

The CLIA number assigned to this NPI record is 29D2159217 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2020 and was last updated on 6/18/2020.

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:

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