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NPI Code Detail

MEDICARE: INTEGRATED MEDICAL CARE INC

MEDICARE: INTEGRATED MEDICAL CARE INC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1265112155
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED MEDICAL CARE INC
Provider Business Mailing Address
First Line : 326 AUSTER PARK AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4426
Country : US
Telephone Number : 702-686-6152
Fax Number :
Provider Business Practice Location Address
First Line : 326 AUSTER PARK AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4426
Country : US
Telephone Number : 702-686-6152
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. TEODORA DEL PILAR
Credential : NP
Telephone Number : 702-686-6152
Provider Enumeration Date : 07/24/2023
Last Update Date : 12/02/2025

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Directions to “INTEGRATED MEDICAL CARE INC ” Practice Location

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