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Organization
BRIGHTLIGHT MEDICAL CENTER LLC
Active
Organization
BRIGHTLIGHT MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL ROQUE UCIO PMHNP (MEMBER MANAGING)
(702) 401-0801
Entity
Organization
Contact information
Practice address
2755 E DESERT INN RD STE 170E, LAS VEGAS, NV 89121-3625
(702) 401-0801
Mailing address
2712 HOLMES ST, N LAS VEGAS, NV 89030-5428
(702) 401-0801
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
09/30/2026
Last updated
09/30/2026
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