| Myndfull Care Nevada Singh Pc | |
|
1980 Festival Plaza Dr Ste 300 Las Vegas NV 89135 | |
| (855) 839-8878 | |
| Not Available |
| Full Name | Myndfull Care Nevada Singh Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1980 Festival Plaza Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Teja Singh (CEO) |
| Authorized Official Contact | 8558398878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfull Care Nevada Singh Pc 9436 W Lake Mead Blvd Suite 5 Pmb 1113 Las Vegas NV 89134 Ph: (855) 839-8878 | Myndfull Care Nevada Singh Pc 1980 Festival Plaza Dr Ste 300 Las Vegas NV 89135 Ph: (855) 839-8878 |
| NPI Number | 1053191296 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 7113378571 |
|---|---|
| Medicare Enrollment ID | O20240110001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053191296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Janal Kono-boelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376013540 PECOS PAC ID: 3476892449 Enrollment ID: I20190308002264 |
| Provider Name | Teja Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875606 PECOS PAC ID: 5193732030 Enrollment ID: I20231128002488 |
| Provider Name | Amber Ashley Sweat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851033849 PECOS PAC ID: 3375992548 Enrollment ID: I20231213001557 |
| Provider Name | Melanie Bainbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588633721 PECOS PAC ID: 8628510740 Enrollment ID: I20240604004376 |
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