WELLNESS MEDICAL GROUP LLC NPI 1609347301

NPI Information

NPI: 1609347301
Provider Name: WELLNESS MEDICAL GROUP LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3017 W CHARLESTON BLVD STE 60
LAS VEGAS, NV
ZIP 89102
Phone: (702) 778-5100
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WELLNESS MEDICAL GROUP LLC is a primary care clinic center in Las Vegas, NV. WELLNESS MEDICAL GROUP LLC NPI is 1609347301. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3017 W CHARLESTON BLVD STE 60
LAS VEGAS, NV
ZIP 89102-927
Phone: (702) 778-5100
Fax: (702) 778-5101

The provider's authorized official is Abegail Concon .
The authorized official title is Aprn and has the following contact phone number (702) 778-5100.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.

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	207R00000X	Internal Medicine		No
2	363LP2300X	Nurse Practitioner	Primary Care	No
3	261QP2300X	Clinic/Center	Primary Care	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: 4/28/2024

NPI Synchronization or Removal

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