DESERT PRIMARY CARE PLLC NPI 1396454070

NPI Information

NPI: 1396454070
Provider Name: DESERT PRIMARY CARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5233 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119
Phone: (702) 878-9500
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DESERT PRIMARY CARE PLLC is a family nurse practitioner in Las Vegas, NV. DESERT PRIMARY CARE PLLC NPI is 1396454070. The provider is registered as an organization entity type.

The provider's business location address is:

5233 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119-311
Phone: (702) 878-9500

The provider's authorized official is Reena John .
The authorized official title is Managing Director and has the following contact phone number (702) 878-9500.

The enumeration date for this NPI number is 11/21/2022 and was last updated on 5/15/2023.

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	261QM1300X	Clinic/Center	Multi-Specialty	No
2	363L00000X	Nurse Practitioner		No
3	363LF0000X	Nurse Practitioner	Family	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: 5/5/2024

NPI Synchronization or Removal

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