Organization
DIRECT HEALTHCARE OF NEVADA PC
Active
Organization
DIRECT HEALTHCARE OF NEVADA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RILWAN OLALEKAN SHOYOMBO APRN (PRESIDENT/PROVIDER)
(702) 846-5978
Entity
Organization
Contact information
Practice address
5353 S JONES BLVD, LAS VEGAS, NV 89118-0537
(702) 846-5978
(702) 846-0305
Mailing address
5353 S JONES BLVD APT 1016, LAS VEGAS, NV 89118-0539
(702) 846-5978
(702) 846-0305
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/12/2021
Last updated
07/24/2021
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