| Emmanuel Nwapa Md Pllc | |
|
601 S Rancho Dr Ste D32 Las Vegas NV 89106-4827 | |
| (702) 854-5000 | |
| (702) 929-2011 |
| Full Name | Emmanuel Nwapa Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 S Rancho Dr Ste D32, Las Vegas, Nevada |
| Authorized Official Name and Position | Emmanuel Nwapa (MANAGING MEMBER) |
| Authorized Official Contact | 7028545000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Nwapa Md Pllc 10120 W Flamingo Rd Ste 597 Las Vegas NV 89147-8392 Ph: () - | Emmanuel Nwapa Md Pllc 601 S Rancho Dr Ste D32 Las Vegas NV 89106-4827 Ph: (702) 854-5000 |
| NPI Number | 1134759988 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Medicare PECOS PAC ID | 9133559511 |
|---|---|
| Medicare Enrollment ID | O20200427001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134759988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emmanuel Nwapa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922107788 PECOS PAC ID: 7810929064 Enrollment ID: I20050908000465 |
| Provider Name | Angela Beth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225652191 PECOS PAC ID: 0042634883 Enrollment ID: I20200727000927 |
| Provider Name | Jerri L Bracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023625688 PECOS PAC ID: 3678961174 Enrollment ID: I20211103001015 |
| Provider Name | Rachel Lauren Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356072177 PECOS PAC ID: 4385026343 Enrollment ID: I20220808001373 |
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