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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