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Organization
MANIFEST HEALTH LLC
Active
Organization
MANIFEST HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE GUERRA APRN (OWNER)
(702) 203-7996
Entity
Organization
Contact information
Practice address
2881 S VALLEY VIEW BLVD STE 4, LAS VEGAS, NV 89102-0170
(702) 203-7996
Mailing address
9033 BLACK ELK AVE, LAS VEGAS, NV 89143-1122
(702) 203-7996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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