# ADVANCED CARE & WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073342390
- **Authorized official:** GLORIA CRUZ (MEMBER MANAGER)
- **Authorized official phone:** (702) 591-3381

## Contact information

- **Practice address:** 855 E TWAIN AVE STE 105, LAS VEGAS, NV 89169-0820
- **Practice address phone:** (702) 591-3381
- **Mailing address:** 1098 ASPEN BREEZE AVE, LAS VEGAS, NV 89123-3195
- **Mailing address phone:** (702) 591-3381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 374700000X | Technician | — | NULL | — |
| 374700000X | Technician | — | — | — |

## Other

- **Enumeration date:** 07/26/2024
- **Last updated:** 01/22/2026