Organization
BRENDA PRIMERO NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA PRIMERO APRN, NP-C, PMHNP-BC (PRESIDENT)
(702) 882-5561
Entity
Organization
Contact information
Practice address
5155 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7695
(702) 882-5561
(702) 956-9016
Mailing address
5155 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7695
(702) 882-5561
(702) 956-9016
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831613025
—
NV
Enumeration date
02/06/2019
Last updated
07/18/2025
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