# ELITE CARE PROVIDERS LLC

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

## Provider details

- **NPI number:** 1861207599
- **Authorized official:** KATRINA BIDWELL APRN (PROVIDER)
- **Authorized official phone:** (510) 378-9718

## Contact information

- **Practice address:** 4567 WEITZMAN PL, LAS VEGAS, NV 89141
- **Practice address phone:** (725) 755-5933
- **Mailing address:** 4567 WEITZMAN PL, LAS VEGAS, NV 89141-6036
- **Mailing address phone:** (510) 378-9718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 02/10/2025
