# SILVER STATE WELLNESS CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972246676
- **Authorized official:** MISS MICHELLE RENEE WYATT (DIRECTOR)
- **Authorized official phone:** (702) 929-1142

## Contact information

- **Practice address:** 570 W CHEYENNE AVE STE 200, NORTH LAS VEGAS, NV 89030-3983
- **Practice address phone:** (702) 677-7410
- **Mailing address:** 1656 DWAYNE STEDMAN AVE, LAS VEGAS, NV 89106-2460
- **Mailing address phone:** (702) 929-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2022
- **Last updated:** 04/19/2022