PALM TREE MEDICAL CENTER LLC NPI 1073275442

NPI Information

NPI: 1073275442
Provider Name: PALM TREE MEDICAL CENTER LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3930 E PATRICK LN
LAS VEGAS, NV
ZIP 89120
Phone: (725) 577-8636
Get Directions

PALM TREE MEDICAL CENTER LLC is a primary care nurse practitioner in Las Vegas, NV. PALM TREE MEDICAL CENTER LLC NPI is 1073275442. The provider is registered as an organization entity type.

The provider's business location address is:

3930 E PATRICK LN
LAS VEGAS, NV
ZIP 89120-924
Phone: (725) 577-8636

The provider's authorized official is Jacolby Bledsoe .
The authorized official title is Owner and has the following contact phone number (725) 577-8636.

The enumeration date for this NPI number is 10/12/2021 and was last updated on 10/13/2021.

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	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	363LP2300X	Nurse Practitioner	Primary Care			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: 4/28/2024

NPI Synchronization or Removal

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