# PRIMEWELL SOLUTIONS

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

## Provider details

- **NPI number:** 1831940709
- **Authorized official:** NANCY DIAGO APRN (CEO)
- **Authorized official phone:** (725) 910-3725

## Contact information

- **Practice address:** 415 S DECATUR BLVD, LAS VEGAS, NV 89107-2812
- **Practice address phone:** (702) 659-8841
- **Mailing address:** 6385 BLACK SWAN LN, LAS VEGAS, NV 89118-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 04/03/2024