| Wellness Center Llc | |
|
400 S 4th St Ste 110 Las Vegas NV 89101-6202 | |
| (702) 498-8771 | |
| Not Available |
| Full Name | Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 S 4th St Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Patrick Misherfi (OWNER) |
| Authorized Official Contact | 7024988771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Center Llc 400 S 4th St Ste 110 Las Vegas NV 89101-6202 Ph: (702) 498-8771 | Wellness Center Llc 400 S 4th St Ste 110 Las Vegas NV 89101-6202 Ph: (702) 498-8771 |
| NPI Number | 1952085219 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 0446606545 |
|---|---|
| Medicare Enrollment ID | O20231025003968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952085219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rosemary A Nowins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831239524 PECOS PAC ID: 8628237542 Enrollment ID: I20120313000833 |
| Provider Name | Yalena Lezcano Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144845330 PECOS PAC ID: 4981055589 Enrollment ID: I20240108005947 |
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