Organization
NCR MEDICAL AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CUBIL APRN (OWNER)
(725) 316-3851
Entity
Organization
Contact information
Practice address
4225 S EASTERN AVE STE 9, LAS VEGAS, NV 89119-5485
(725) 316-3851
(702) 552-0302
Mailing address
4225 S EASTERN AVE STE 9, LAS VEGAS, NV 89119-5485
(725) 316-3851
(702) 552-0302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/28/2025
Last updated
04/29/2026
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