Western State Behavioral Health And Psychiatric Services | |
3910 Pecos Mcleod Ste B Las Vegas NV 89121-4304 | |
(702) 629-7577 | |
(702) 629-7616 |
Full Name | Western State Behavioral Health And Psychiatric Services |
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Speciality | Nurse Practitioner |
Location | 3910 Pecos Mcleod Ste B, Las Vegas, Nevada |
Authorized Official Name and Position | Frances Nedd (OWNER) |
Authorized Official Contact | 7024765110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Western State Behavioral Health And Psychiatric Services 3910 Pecos Mcleod B-100 Las Vegas NV 89121-4304 Ph: (702) 476-5110 | Western State Behavioral Health And Psychiatric Services 3910 Pecos Mcleod Ste B Las Vegas NV 89121-4304 Ph: (702) 629-7577 |
NPI Number | 1598379117 |
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Provider Enumeration Date | 09/01/2020 |
Last Update Date | 08/22/2024 |
Certification Date | 08/22/2024 |
Medicare PECOS PAC ID | 1456741784 |
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Medicare Enrollment ID | O20211201000524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598379117 | NPI | - | NPPES |
Provider Name | Humberto Rodriguez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1912927229 PECOS PAC ID: 3678562394 Enrollment ID: I20040508000094 |
Provider Name | Vickie Renee Mcpherson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376954818 PECOS PAC ID: 2365782356 Enrollment ID: I20190329001861 |
Provider Name | Gisela Ayub |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932548633 PECOS PAC ID: 3870870702 Enrollment ID: I20211223001203 |
Provider Name | Mario Jose Valdes Espino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194497735 PECOS PAC ID: 4183017767 Enrollment ID: I20220202002192 |
Provider Name | Erickson Nery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023691235 PECOS PAC ID: 6406240894 Enrollment ID: I20220301001368 |
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