Avant-garde Center For Wellness | |
1510 W Sunset Rd Ste 110 Henderson NV 89014-2695 | |
(888) 375-8698 | |
(702) 342-8108 |
Full Name | Avant-garde Center For Wellness |
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Speciality | Nurse Practitioner |
Location | 1510 W Sunset Rd Ste 110, Henderson, Nevada |
Authorized Official Name and Position | Vanessa C Parker (PRESIDENT,CEO) |
Authorized Official Contact | 3232524569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avant-garde Center For Wellness 1510 W Sunset Rd Ste 110 Henderson NV 89014-2695 Ph: (888) 375-8698 | Avant-garde Center For Wellness 1510 W Sunset Rd Ste 110 Henderson NV 89014-2695 Ph: (888) 375-8698 |
NPI Number | 1235795824 |
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Provider Enumeration Date | 05/19/2019 |
Last Update Date | 08/19/2020 |
Certification Date | 08/19/2020 |
Medicare PECOS PAC ID | 3476982802 |
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Medicare Enrollment ID | O20200406000851 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235795824 | NPI | - | NPPES |
1235795824 | Medicaid | NV |
Provider Name | Vanessa C Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427366749 PECOS PAC ID: 9931360211 Enrollment ID: I20190122003244 |
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