# NEVADA PRIME CARE LLC

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

## Provider details

- **NPI number:** 1750990503
- **Authorized official:** ARIAGNE ARIELLE DUAVE (CEO)
- **Authorized official phone:** (702) 588-1938

## Contact information

- **Practice address:** 3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
- **Practice address phone:** (702) 588-1938
- **Mailing address:** 3430 E FLAMINGO RD STE 311, LAS VEGAS, NV 89121-5067
- **Mailing address phone:** (702) 324-9092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2020
- **Last updated:** 06/10/2021