| Avandy Medical Buttrum Pllc | |
|
660 S Green Valley Pkwy Ste 130 Henderson NV 89052-0431 | |
| (702) 508-2453 | |
| (702) 508-2435 |
| Full Name | Avandy Medical Buttrum Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 660 S Green Valley Pkwy Ste 130, Henderson, Nevada |
| Authorized Official Name and Position | Mandy Buttrum (OWNER) |
| Authorized Official Contact | 7025082153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avandy Medical Buttrum Pllc 660 S Green Valley Pkwy Ste 130 Henderson NV 89052-0431 Ph: (702) 508-2153 | Avandy Medical Buttrum Pllc 660 S Green Valley Pkwy Ste 130 Henderson NV 89052-0431 Ph: (702) 508-2453 |
| NPI Number | 1043969405 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Medicare PECOS PAC ID | 1456733674 |
|---|---|
| Medicare Enrollment ID | O20220804003379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043969405 | NPI | - | NPPES |
| 15199 | Other | NV | PRIMARY CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mandy Yvonne Buttrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306070552 PECOS PAC ID: 2062669153 Enrollment ID: I20140815001091 |
| Provider Name | Laurel Neville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992264972 PECOS PAC ID: 5799012399 Enrollment ID: I20220708001169 |
| Provider Name | Amy Marie Hansen-schwinghamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467235127 PECOS PAC ID: 8729433081 Enrollment ID: I20231006002231 |
| Provider Name | Alicia Flamenco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023878287 PECOS PAC ID: 1355783390 Enrollment ID: I20240522003545 |
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