| Advanced Primary Care Pllc | |
|
2810 W Charleston Blvd Ste E48 Las Vegas NV 89102-1921 | |
| (702) 878-5504 | |
| (702) 878-8206 |
| Full Name | Advanced Primary Care Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2810 W Charleston Blvd Ste E48, Las Vegas, Nevada |
| Authorized Official Name and Position | Nerissa C Dimailig (MANAGING MEMBER) |
| Authorized Official Contact | 7028785504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary Care Pllc 2810 W Charleston Blvd Ste E48 Las Vegas NV 89102-1921 Ph: (702) 878-5504 | Advanced Primary Care Pllc 2810 W Charleston Blvd Ste E48 Las Vegas NV 89102-1921 Ph: (702) 878-5504 |
| NPI Number | 1881285518 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/26/2021 |
| Medicare PECOS PAC ID | 0042627689 |
|---|---|
| Medicare Enrollment ID | O20210329000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881285518 | NPI | - | NPPES |
| Provider Name | Nerissa C Cunanan Dimailig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629390786 PECOS PAC ID: 9234260613 Enrollment ID: I20100629000339 |
| Provider Name | Debbie Elamparo Edano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841507514 PECOS PAC ID: 5698958171 Enrollment ID: I20151113002212 |
| Provider Name | Jasmin Quillosa Matutis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497324206 PECOS PAC ID: 8325449994 Enrollment ID: I20210702001468 |
| Provider Name | Filemon F Salileng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467436337 PECOS PAC ID: 3779572482 Enrollment ID: I20220104002384 |
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