Healing Lotus Partners Llc | |
6874 Truffle Gray St Las Vegas NV 89148-4375 | |
(702) 712-0229 | |
Not Available |
Full Name | Healing Lotus Partners Llc |
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Speciality | Clinic/Center |
Location | 6874 Truffle Gray St, Las Vegas, Nevada |
Authorized Official Name and Position | Jayme Elizabeth Kelly (MEMBER) |
Authorized Official Contact | 8594681780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Lotus Partners Llc 6874 Truffle Gray St Las Vegas NV 89148-4375 Ph: (702) 712-0229 | Healing Lotus Partners Llc 6874 Truffle Gray St Las Vegas NV 89148-4375 Ph: (702) 712-0229 |
NPI Number | 1871358416 |
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Provider Enumeration Date | 02/13/2024 |
Last Update Date | 02/13/2024 |
Certification Date | 02/13/2024 |
Medicare PECOS PAC ID | 7012358856 |
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Medicare Enrollment ID | O20240510003168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871358416 | NPI | - | NPPES |
Provider Name | Jayme Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083815450 PECOS PAC ID: 3375735764 Enrollment ID: I20210930000422 |
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