MEDICARE: EMPOWER TELEHEALTH

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1629755848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER TELEHEALTH

Provider Business Mailing Address
First Line	:	7421 MARGOLLINI ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2670
Country	:	US
Telephone Number	:	702-767-9346
Fax Number	:

Provider Business Practice Location Address
First Line	:	7421 MARGOLLINI ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2670
Country	:	US
Telephone Number	:	702-767-9346
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	TIFFANY WALKER
Credential	:	NP
Telephone Number	:	702-767-9346

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	07/08/2025

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Directions to “EMPOWER TELEHEALTH ” Practice Location

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