# MEDNOVA HEALTH GROUP LTD

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

## Provider details

- **NPI number:** 1649189432
- **Authorized official:** TRACIE FITZMAURICE (MANAGER)
- **Authorized official phone:** (725) 336-3622

## Contact information

- **Practice address:** 3055 SAINT ROSE PKWY \# 777492, HENDERSON, NV 89052-3889
- **Practice address phone:** (725) 336-3622
- **Mailing address:** 3055 SAINT ROSE PKWY \# 777492, HENDERSON, NV 89052-3889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 09/05/2026
- **Last updated:** 09/05/2026