Organization
NOVA HEALTHCARE GROUP LLC
Active
Other names
Nova Healthcare Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNELEISA GAIL MCDONALD APRN-BC (PROVIDER/ OWNER)
(702) 268-8900
Entity
Organization
Contact information
Practice address
175 CROOKED PUTTER DR, LAS VEGAS, NV 89148-5228
(702) 268-8900
(702) 664-6729
Mailing address
175 CROOKED PUTTER DR, LAS VEGAS, NV 89148-5228
(702) 268-8900
(702) 664-6729
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002927
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760723092
—
NV
Enumeration date
06/20/2018
Last updated
09/28/2022
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