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NPI Code Detail

MEDICARE: PACIFICUS MENTAL HEALTH LLC

MEDICARE: PACIFICUS MENTAL HEALTH 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1730057183
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFICUS MENTAL HEALTH LLC
Provider Business Mailing Address
First Line : 7318 W POST RD STE 211
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6646
Country : US
Telephone Number : 725-425-5863
Fax Number : 725-215-9697
Provider Business Practice Location Address
First Line : 7318 W POST RD STE 211
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6646
Country : US
Telephone Number : 702-785-8406
Fax Number :
Authorized Official
Title or Position : PMHNP
Name : SALEM G FITSUM
Credential : MSN
Telephone Number : 702-785-8406
Provider Enumeration Date : 10/27/2025
Last Update Date : 01/23/2026

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Directions to “PACIFICUS MENTAL HEALTH LLC ” Practice Location

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