# MANIFEST HEALTH LLC

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

## Provider details

- **NPI number:** 1417631706
- **Authorized official:** PAMELA SUE GUERRA APRN (OWNER)
- **Authorized official phone:** (702) 203-7996

## Contact information

- **Practice address:** 2881 S VALLEY VIEW BLVD STE 4, LAS VEGAS, NV 89102-0170
- **Practice address phone:** (702) 203-7996
- **Mailing address:** 9033 BLACK ELK AVE, LAS VEGAS, NV 89143-1122
- **Mailing address phone:** (702) 203-7996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023