VALLEY PAIN & WELLNESS LLC NPI 1720957111

NPI Information

  • NPI: 1720957111
  • Provider Name: VALLEY PAIN & WELLNESS LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 2121 E FLAMINGO RD STE 208
    LAS VEGAS, NV
    ZIP 89119
  • Phone: (702) 430-1112

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NPI Details

VALLEY PAIN & WELLNESS LLC is an adult health nurse practitioner in Las Vegas, NV. VALLEY PAIN & WELLNESS LLC NPI is 1720957111. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2121 E FLAMINGO RD STE 208
LAS VEGAS, NV
ZIP 89119-124
Phone: (702) 430-1112
Fax: (702) 268-8950

The provider's authorized official is Ronald Lee Moore .
The authorized official title is Manager and has the following contact phone number (702) 430-1112.

The enumeration date for this NPI number is 11/3/2025 and was last updated on 11/3/2025.

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 HealthYes

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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