Organization
NEVADA ALWAYS YOUR DOCTOR LLC.
Active
Other names
Nevada Always Your Doctor LLC., Nevada Always Your Doctor LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SIMPORIOS MONTECILLO NURSE PRACTITIONER (OWNER)
(702) 826-0959
Entity
Organization
Contact information
Practice address
4580 S EASTERN AVE STE 29, LAS VEGAS, NV 89119-6100
(702) 826-0956
Mailing address
4580 S EASTERN AVE STE 29, LAS VEGAS, NV 89119-6100
(702) 826-0956
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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