# INSTACARE VIP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Instacare VIP LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417753377
- **Authorized official:** KATHERINE AGRON NP (CNO)
- **Authorized official phone:** (703) 999-4693

## Contact information

- **Practice address:** 3651 LINDELL RD \# D-373, LAS VEGAS, NV 89103-1254
- **Practice address phone:** (310) 709-2028
- **Mailing address:** 3651 LINDELL RD \# D-373, LAS VEGAS, NV 89103-1254
- **Mailing address phone:** (310) 709-2028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025