NOVA HEALTHCARE GROUP LLC NPI 1548754690

NPI Information

  • NPI: 1548754690
  • Provider Name: NOVA HEALTHCARE GROUP LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Former Legal Business Name: NOVA HEALTHCARE GROUP
  • Address: 175 CROOKED PUTTER DR
    LAS VEGAS, NV
    ZIP 89148
  • Phone: (702) 268-8900

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NPI Details

NOVA HEALTHCARE GROUP LLC is an adult health nurse practitioner in Las Vegas, NV. NOVA HEALTHCARE GROUP LLC NPI is 1548754690. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Nova Healthcare Group.

The provider's business location address is:

175 CROOKED PUTTER DR
LAS VEGAS, NV
ZIP 89148-228
Phone: (702) 268-8900
Fax: (702) 664-6729

The provider's authorized official is Anneleisa Gail Mcdonald .
The authorized official title is Provider/ Owner and has the following contact phone number (702) 268-8900.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 9/28/2022.

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
1363LA2200XNurse PractitionerAdult Health002927NEVADAYes

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
11760723092MEDICAIDNEVADA

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: 11/21/2025

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