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NPI Code Detail

MEDICARE: FULL CIRCLE INTEGRATED HEALTH SOLUTIONS LLC

MEDICARE: FULL CIRCLE INTEGRATED HEALTH SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1033984083
Entity Type Code : Organization
Provider Name (Legal Business Name) : FULL CIRCLE INTEGRATED HEALTH SOLUTIONS LLC
Provider Business Mailing Address
First Line : 2161 PORTNEUF DR
Second Line :
City : SPARKS
State : NV
Zip : 89436-9392
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 930 S 4TH ST STE 209
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6845
Country : US
Telephone Number : 760-583-2285
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : JULIE LYNNE RHYS HILARIO
Credential :
Telephone Number : 760-583-2285
Provider Enumeration Date : 11/20/2023
Last Update Date : 11/20/2023

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Directions to “FULL CIRCLE INTEGRATED HEALTH SOLUTIONS LLC ” Practice Location

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