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NPI Code Detail

MEDICARE: FIRST PERSON CARE CLINIC

MEDICARE: FIRST PERSON CARE CLINIC
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
1363LG0600XGerontology Nurse Practitioner
2207RR0500XRheumatology Physician
3207RC0000XCardiovascular Disease Physician
4363AM0700XMedical Physician Assistant
5261QF0050XNon-Surgical Family Planning Clinic/Center
6163WI0500XInfusion Therapy Registered Nurse
7208000000XPediatrics Physician
8163WC1500XCommunity Health Registered Nurse
9207VG0400XGynecology Physician
10207Q00000XFamily Medicine Physician
11363LF0000XFamily Nurse Practitioner
12261QF0400XFederally Qualified Health Center (FQHC)
13261Q00000XClinic/CenterNV
14207RI0200XInfectious Disease Physician
15261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659612547
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST PERSON CARE CLINIC
Provider Business Mailing Address
First Line : PO BOX 270790
Second Line :
City : LAS VEGAS
State : NV
Zip : 89127-4790
Country : US
Telephone Number : 702-380-8118
Fax Number : 702-380-2929
Provider Business Practice Location Address
First Line : 1200 S 4TH ST STE 111
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-1046
Country : US
Telephone Number : 888-795-1110
Fax Number : 702-380-2929
Authorized Official
Title or Position : HR DIRECTOR
Name : BRIANNA WASHINGTON
Credential :
Telephone Number : 702-380-8118
Provider Enumeration Date : 03/03/2013
Last Update Date : 12/16/2025

Similar Medicare Providers

1497758197 — DR. KENNETH JARVIS DPM
Practice Location Address:
1200 S 4TH ST STE 111
LAS VEGAS, NV
89104-1046
Practice Phone: 702-810-1748
Practice Fax: 702-837-8292
1538101084 — HOSPICE OF LAS VEGAS, INC.
Practice Location Address:
1200 S 4TH ST , STE 100
LAS VEGAS, NV
89104-1046
Practice Phone: 702-853-9063
Practice Fax:
1205021474 — MS. MINNIE ELIZABETH WOOD NP
Practice Location Address:
1200 S 4TH ST STE 111
LAS VEGAS, NV
89104-1046
Practice Phone: 702-380-8118
Practice Fax: 702-380-2929
1457519332 — ASHER SHAHZAD M.D
Practice Location Address:
1200 S 4TH ST STE 111
LAS VEGAS, NV
89104-1046
Practice Phone: 702-380-8118
Practice Fax:
1164755328 — DR. STEPHEN HOWARD FRYE M.D.
Practice Location Address:
1200 S 4TH ST STE 111
LAS VEGAS, NV
89104-1046
Practice Phone: 702-617-6313
Practice Fax:
1861752701 — IVONNE DRAUGHON DNP
Practice Location Address:
1200 S 4TH ST STE 111
LAS VEGAS, NV
89104-1046
Practice Phone: 702-380-8118
Practice Fax: 702-380-2929

Directions to “FIRST PERSON CARE CLINIC ” Practice Location

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