| Serene Path Wellness | |
|
10161 Park Run Dr Ste 150 Las Vegas NV 89145-8872 | |
| (702) 612-5566 | |
| (702) 793-2901 |
| Full Name | Serene Path Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10161 Park Run Dr Ste 150, Las Vegas, Nevada |
| Authorized Official Name and Position | Farbod Valinia (CO-OWNER) |
| Authorized Official Contact | 7026125566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Path Wellness 6130 W Flamingo Rd Ste 635 Las Vegas NV 89103-2280 Ph: (702) 612-5566 | Serene Path Wellness 10161 Park Run Dr Ste 150 Las Vegas NV 89145-8872 Ph: (702) 612-5566 |
| NPI Number | 1437995362 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 6709318561 |
|---|---|
| Medicare Enrollment ID | O20241017002181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437995362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Farbod Valinia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235883836 PECOS PAC ID: 9436596160 Enrollment ID: I20240318003334 |
| Provider Name | Merlynn R Ragsac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841064318 PECOS PAC ID: 6305283607 Enrollment ID: I20240321004244 |
| Provider Name | Irene I Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073364865 PECOS PAC ID: 8921548405 Enrollment ID: I20240911001034 |
| Provider Name | Jennifer Cortes-klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629616925 PECOS PAC ID: 3971920968 Enrollment ID: I20241212002055 |
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