| Essential Clinic | |
|
600 W Sunset Rd Ste 102 Henderson NV 89011-4112 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Essential Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 W Sunset Rd Ste 102, Henderson, Nevada |
| Authorized Official Name and Position | Wally Joseph (OWNER) |
| Authorized Official Contact | 7252415252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Clinic 600 W Sunset Rd Ste 102 Henderson NV 89011-4112 Ph: (725) 241-5252 | Essential Clinic 600 W Sunset Rd Ste 102 Henderson NV 89011-4112 Ph: (000) 000-0000 |
| NPI Number | 1629659701 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 06/08/2024 |
| Certification Date | 06/08/2024 |
| Medicare PECOS PAC ID | 5395143341 |
|---|---|
| Medicare Enrollment ID | O20211006001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629659701 | NPI | - | NPPES |
| 1326595125 | Other | CA | FAMILY NURSE PRACTITIONER AND PSYCHIATRIC NURSE PRACTITIONER |
| Provider Name | Judith L Trevisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760842512 PECOS PAC ID: 5890092688 Enrollment ID: I20161014001098 |
| Provider Name | Wally Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326595125 PECOS PAC ID: 2668758632 Enrollment ID: I20211006001722 |
| Provider Name | Joseph Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290748 PECOS PAC ID: 1456715135 Enrollment ID: I20230913003401 |
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