Organization
LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA BERRY APRN (PRESIDENT)
(818) 795-7597
Entity
Organization
Contact information
Practice address
2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130-3361
(818) 795-7597
Mailing address
2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130-3361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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