Organization
GLEE HEALTH MEDICAL INSTITUTE NEVADA LLC
Active
Organization
GLEE HEALTH MEDICAL INSTITUTE NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY NWAFOR SR. NP (MANAGER)
(310) 491-8123
Entity
Organization
Contact information
Practice address
1500 S. SAHARA AVE, SUITE B5, LAS VEGAS, NV 89104
(310) 491-8123
(310) 491-8123
Mailing address
70 S NEVADA HIGHWAY 160 STE 104, PAHRUMP, NV 89048-2161
(310) 491-8123
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
12/04/2025
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