Organization
IDEAL HEALTHCARE LLC
Active
Organization
IDEAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IREDILA BYNUM NURSE PRACTITIONER (MANAGING MEMBER)
(702) 588-1780
Entity
Organization
Contact information
Practice address
2635 EVOLUTIONARY LN, LAS VEGAS, NV 89138-6160
(702) 588-1780
Mailing address
2635 EVOLUTIONARY LN, LAS VEGAS, NV 89138-6160
(702) 588-1780
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
02/03/2025
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