# HORIZON RIDGE WELLNESS

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

## Provider details

- **NPI number:** 1710496617
- **Authorized official:** BRUCE EDDINS (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (702) 489-3201

## Contact information

- **Practice address:** 3160 W SAHARA AVE STE A11, LAS VEGAS, NV 89102-3215
- **Practice address phone:** (702) 489-2889
- **Practice address fax:** (702) 489-8264
- **Mailing address:** 3160 W SAHARA AVE, SUITE A11, LAS VEGAS, NV 89102-6002
- **Mailing address phone:** (702) 489-2889
- **Mailing address fax:** (702) 489-8264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/22/2017
- **Last updated:** 07/21/2022
