MEDICARE: VZ HEALTH AND WELLNESS

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1972194611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VZ HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	9420 STEELTREE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89143-1145
Country	:	US
Telephone Number	:	702-808-9568
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 S LOLA LN
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-0878
Country	:	US
Telephone Number	:	702-277-1357
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNTHIA RAE HOUTROUW
Credential	:	APRN
Telephone Number	:	702-277-1357

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	01/26/2021

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Directions to “VZ HEALTH AND WELLNESS ” Practice Location

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