Elite Health And Wellness | |
1070 W Horizon Ridge Pkwy Ste 111 Henderson NV 89012-6019 | |
(702) 336-0843 | |
(469) 242-9677 |
Full Name | Elite Health And Wellness |
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Speciality | Clinic/Center |
Location | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, Nevada |
Authorized Official Name and Position | Nikesha Mobley (NURSE PRACTITIONER/CEO) |
Authorized Official Contact | 7023360843 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elite Health And Wellness 1070 W Horizon Ridge Pkwy Ste 111 Henderson NV 89012-6019 Ph: (702) 336-0843 | Elite Health And Wellness 1070 W Horizon Ridge Pkwy Ste 111 Henderson NV 89012-6019 Ph: (702) 336-0843 |
NPI Number | 1760005995 |
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Provider Enumeration Date | 05/21/2020 |
Last Update Date | 03/29/2021 |
Medicare PECOS PAC ID | 0143642835 |
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Medicare Enrollment ID | O20200625002423 |
Identifier | Type | State | Issuer |
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1760005995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Nikesha Q Mobley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902384472 PECOS PAC ID: 6103178033 Enrollment ID: I20181004000411 |
Provider Name | Charina Tan Dy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124730858 PECOS PAC ID: 8921473539 Enrollment ID: I20230413001313 |
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