MEDICARE: NEVADA MEDICAL AND PAIN INSTITUTE

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1609644905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA MEDICAL AND PAIN INSTITUTE

Provider Business Mailing Address
First Line	:	1414 S EASTERN AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3903
Country	:	US
Telephone Number	:	775-469-2361
Fax Number	:	725-205-0013

Provider Business Practice Location Address
First Line	:	1414 S EASTERN AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3903
Country	:	US
Telephone Number	:	775-469-2361
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JEREMIAH UMEH
Credential	:	APRN
Telephone Number	:	702-863-9247

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	12/10/2025

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Directions to “NEVADA MEDICAL AND PAIN INSTITUTE ” Practice Location

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