Organization
THE WELLNESS CENTER OF LAS VEGAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DIAGO APRN (MEMBER)
(725) 910-3725
Entity
Organization
Contact information
Practice address
415 S DECATUR BLVD, LAS VEGAS, NV 89107-2812
(725) 910-3725
Mailing address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(725) 910-3725
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2024
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