| Henderson Wellness Clinic | |
|
1490 W Sunset Rd Ste 120 Henderson NV 89014-6635 | |
| (855) 955-5428 | |
| (844) 389-0835 |
| Full Name | Henderson Wellness Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1490 W Sunset Rd Ste 120, Henderson, Nevada |
| Authorized Official Name and Position | Christopher James Davin (LAB DIRECTOR) |
| Authorized Official Contact | 8559555428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Wellness Clinic 1490 W Sunset Rd Ste 120 Henderson NV 89014-6635 Ph: (855) 955-5428 | Henderson Wellness Clinic 1490 W Sunset Rd Ste 120 Henderson NV 89014-6635 Ph: (855) 955-5428 |
| NPI Number | 1073270773 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 3971972928 |
|---|---|
| Medicare Enrollment ID | O20221213002948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073270773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | William P Emmerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992713671 PECOS PAC ID: 7719122308 Enrollment ID: I20130403000036 |
| Provider Name | Ellen Eversole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336858364 PECOS PAC ID: 8729441563 Enrollment ID: I20230828002241 |
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