FORMA INTEGRATED HEALTHCARE NPI 1023964657

NPI Information

  • NPI: 1023964657
  • Provider Name: FORMA INTEGRATED HEALTHCARE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2655 S RAINBOW BLVD STE 410
    LAS VEGAS, NV
    ZIP 89146
  • Phone: (702) 726-9722

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NPI Details

FORMA INTEGRATED HEALTHCARE is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FORMA INTEGRATED HEALTHCARE NPI is 1023964657. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2655 S RAINBOW BLVD STE 410
LAS VEGAS, NV
ZIP 89146-100
Phone: (702) 726-9722
Fax: (702) 906-0067

The provider's authorized official is Ann Uganiza .
The authorized official title is Ceo and has the following contact phone number (702) 531-4540.

The enumeration date for this NPI number is 3/6/2026 and was last updated on 3/9/2026.

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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4163WW0000XRegistered NurseWound CareNo
5103TF0000XPsychologistFamilyNo
6174400000XSpecialistYes

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: 11/21/2025

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