Organization
EXTENSIVE PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TWYLA RASHELLE RUSSELL BSN,MSN,APRN, FNP-BC (OWNERCEO)
(702) 822-1881
Entity
Organization
Contact information
Practice address
6465 W SAHARA AVE STE 103, LAS VEGAS, NV 89146-3071
(702) 822-1881
(702) 822-1880
Mailing address
6465 W SAHARA AVE STE 103, LAS VEGAS, NV 89146-3071
(702) 822-1881
(702) 787-9635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
11/21/2019
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