Healthcare Provider Details

I. General information

NPI: 1508788373
Provider Name (Legal Business Name): CHRISTIAN MICHAEL HEILMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7755 N DURANGO DR
LAS VEGAS NV
89131-8190
US

IV. Provider business mailing address

7755 N DURANGO DR
LAS VEGAS NV
89131-8190
US

V. Phone/Fax

Practice location:
  • Phone: 702-396-4728
  • Fax: 702-396-0684
Mailing address:
  • Phone: 702-396-4728
  • Fax: 702-396-0684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20339
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: