FULL CIRCLE CARE PLLC NPI 1336835404

NPI Information

  • NPI: 1336835404
  • Provider Name: FULL CIRCLE CARE PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: FULL CIRCLE CARE
  • Address: 2110 E FLAMINGO RD STE 105
    LAS VEGAS, NV
    ZIP 89119
  • Phone: (702) 695-2084

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NPI Details

FULL CIRCLE CARE PLLC is a family nurse practitioner in Las Vegas, NV. FULL CIRCLE CARE PLLC NPI is 1336835404. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Full Circle Care.

The provider's business location address is:

2110 E FLAMINGO RD STE 105
LAS VEGAS, NV
ZIP 89119-191
Phone: (702) 695-2084
Fax: (702) 537-0981

The provider's authorized official is Jennifer Elizabeth Story-salacup .
The authorized official title is Nurse Practitioner and has the following contact phone number (702) 513-5533.

The enumeration date for this NPI number is 4/12/2023 and was last updated on 4/20/2024.

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 PractitionerFamilyYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 3/30/2025

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