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MINDFULNESS MENTAL HEALTHCARE ODIWO PLLC NPI 1144949199


NPI Information

NPI: 1144949199
Provider Name: MINDFULNESS MENTAL HEALTHCARE ODIWO PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144
Phone: (512) 364-5830
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MINDFULNESS MENTAL HEALTHCARE ODIWO PLLC is a psychiatric/mental health nurse practitioner in Las Vegas, NV. MINDFULNESS MENTAL HEALTHCARE ODIWO PLLC NPI is 1144949199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144-308
Phone: (512) 364-5830

The provider's authorized official is Edith Odiwo .
The authorized official title is Provider and has the following contact phone number (512) 364-5830.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 8/23/2022.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003429671MEDICAIDNEVADA

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: 5/5/2024

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