BRENDA PRIMERO NP LLC NPI 1164987871

NPI Information

NPI: 1164987871
Provider Name: BRENDA PRIMERO NP LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8125 NOTTINGHAM HILL LN
LAS VEGAS, NV
ZIP 89113
Phone: (702) 882-5561
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BRENDA PRIMERO NP LLC is a primary care clinic center in Las Vegas, NV. BRENDA PRIMERO NP LLC NPI is 1164987871. The provider is registered as an organization entity type.

The provider's business location address is:

8125 NOTTINGHAM HILL LN
LAS VEGAS, NV
ZIP 89113-888
Phone: (702) 882-5561

The provider's authorized official is Brenda Primero .
The authorized official title is President and has the following contact phone number (702) 882-5561.

The enumeration date for this NPI number is 2/6/2019 and was last updated on 2/6/2019.

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	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QP2300X	Clinic/Center	Primary Care	Yes

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
1	1831613025	MEDICAID	NEVADA

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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