Healthcare Provider Details

I. General information

NPI: 1902739303
Provider Name (Legal Business Name): PARISH STARRAE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 W HORIZON RIDGE PKWY STE 110
HENDERSON NV
89012-4896
US

IV. Provider business mailing address

2345 VIA INSPIRADA PMB 336
HENDERSON NV
89044-1848
US

V. Phone/Fax

Practice location:
  • Phone: 702-623-3250
  • Fax:
Mailing address:
  • Phone: 702-377-2105
  • Fax: 877-682-6561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEOKCHOL PARISH
Title or Position: APRN
Credential: NP
Phone: 702-377-2105