DIRECT HEALTHCARE OF NEVADA PC NPI 1689242190

NPI Information

NPI: 1689242190
Provider Name: DIRECT HEALTHCARE OF NEVADA PC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
5353 S JONES BLVD
LAS VEGAS, NV
ZIP 89118
Phone: (702) 846-5978
Get Directions

DIRECT HEALTHCARE OF NEVADA PC is a gerontology nurse practitioner in Las Vegas, NV. DIRECT HEALTHCARE OF NEVADA PC NPI is 1689242190. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5353 S JONES BLVD
LAS VEGAS, NV
ZIP 89118-537
Phone: (702) 846-5978
Fax: (702) 846-0305

The provider's authorized official is Rilwan Olalekan Shoyombo .
The authorized official title is President/provider and has the following contact phone number (702) 846-5978.

The enumeration date for this NPI number is 6/12/2021 and was last updated on 7/24/2021.

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	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	No
2	363LG0600X	Nurse Practitioner	Gerontology	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	No

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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