| Better Health Nevada Llc | |
|
2080 E Flamingo Rd Ste 110 Las Vegas NV 89119-5175 | |
| (702) 623-8651 | |
| (702) 605-1744 |
| Full Name | Better Health Nevada Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2080 E Flamingo Rd Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Yamilka Castillo Gongora (OWNER PROVIDER) |
| Authorized Official Contact | 7026238651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Better Health Nevada Llc 2080 E Flamingo Rd Ste 110 Las Vegas NV 89119-5175 Ph: (702) 623-8651 | Better Health Nevada Llc 2080 E Flamingo Rd Ste 110 Las Vegas NV 89119-5175 Ph: (702) 623-8651 |
| NPI Number | 1902534316 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3375912082 |
|---|---|
| Medicare Enrollment ID | O20221219002220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902534316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
| Provider Name | Yamilka Castillo Gongora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053690362 PECOS PAC ID: 0840621553 Enrollment ID: I20200513002237 |
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