Organization
PRIMEWELL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DIAGO APRN (CEO)
(725) 910-3725
Entity
Organization
Contact information
Practice address
415 S DECATUR BLVD, LAS VEGAS, NV 89107-2812
(702) 659-8841
Mailing address
6385 BLACK SWAN LN, LAS VEGAS, NV 89118-1998
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
07/26/2024
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