Organization
GENERATIONAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON YVETTE GRAVES-JOHNSON APRN (OWNER)
(725) 253-3500
Entity
Organization
Contact information
Practice address
5667 GREAT EAGLE CT, LAS VEGAS, NV 89122-4768
(725) 253-3500
(702) 483-5228
Mailing address
PO BOX 621448, LAS VEGAS, NV 89162-1448
(725) 253-3500
(702) 483-5228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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