Pure Healthcare Of Nevada Llc | |
1865 Plumas St Ste 4 Reno NV 89509-3386 | |
(775) 218-9020 | |
Not Available |
Full Name | Pure Healthcare Of Nevada Llc |
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Speciality | Clinic/Center |
Location | 1865 Plumas St Ste 4, Reno, Nevada |
Authorized Official Name and Position | Joshua Tandy (DIRECTOR) |
Authorized Official Contact | 8017870731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pure Healthcare Of Nevada Llc 4179 S Riverboat Rd Ste 220 Taylorsville UT 84123-2986 Ph: (855) 550-3358 | Pure Healthcare Of Nevada Llc 1865 Plumas St Ste 4 Reno NV 89509-3386 Ph: (775) 218-9020 |
NPI Number | 1932871308 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 06/15/2023 |
Medicare PECOS PAC ID | 2264826544 |
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Medicare Enrollment ID | O20220302002238 |
Identifier | Type | State | Issuer |
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1932871308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Abigail Christine Souza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003499013 PECOS PAC ID: 1355744541 Enrollment ID: I20210726002578 |
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