# LIFE BREAKTHROUGH

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

## Provider details

- **NPI number:** 1386163756
- **Authorized official:** LESLIE KALYN DNP (PRESIDENT)
- **Authorized official phone:** (702) 895-1883

## Contact information

- **Practice address:** 10885 S EASTERN AVE, HENDERSON, NV 89052-5857
- **Practice address phone:** (702) 895-1883
- **Mailing address:** 11740 VILLA MALAPARTE AVE, LAS VEGAS, NV 89138-6013
- **Mailing address phone:** (702) 895-1883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN001086 | NV | Yes |

## Other

- **Enumeration date:** 09/16/2017
- **Last updated:** 09/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | APRN001086 | APRN LICENSE | NV |