Organization
PRIDE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER RUSSELL APRN (OWNER)
(702) 350-1477
Entity
Organization
Contact information
Practice address
2725 S JONES BLVD STE 109, LAS VEGAS, NV 89146-5605
(702) 350-1477
(725) 910-0701
Mailing address
2725 S JONES BLVD STE 109, LAS VEGAS, NV 89146-5605
(702) 350-1477
(725) 910-0701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
07/08/2025
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