Organization
CARE WITH PURPOSE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENAKWA HAWKINS RN (OWNER)
(818) 481-3571
Entity
Organization
Contact information
Practice address
2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130-3361
(818) 481-3571
Mailing address
2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130-3361
(818) 481-3571
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN002399
PHYSICIAN ASSISTANTS & ADVANCED PRACTICE NURSING PROVIDERS / NURSE PRACTITIONER
NV
Enumeration date
07/03/2020
Last updated
07/03/2020
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