<Unavail>

LBN: John Phoenix Aprn Pllc
<Unavail> is an health care organization with primary practice located at 2000 S Eastern Ave Ste R , Las Vegas NV 89104-4100. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. John Phoenix Aprn Pllc can be contacted via phone (702) 523-9025, or through Phoenix, John R via phone (702) 523-9025.

Contact Information

Primary practice address
2000 S Eastern Ave Ste R Las Vegas NV 89104-4100
Fax: (775) 310-9190
Website:
Authorized official contact:
Name: Phoenix, John R Advanced Practice Registered Nurse (APRN)

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN001359 Nevada

Profile Details

NPI number 1134553068
LBN Legal business name John Phoenix Aprn Pllc
DBA Doing business as <Unavail>
Authorized official Phoenix, John R Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2013
Last updated Aug 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134553068 NPPES
Nevada MEDICAID 100534176

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