Healthcare Provider Details

I. General information

NPI: 1790541779
Provider Name (Legal Business Name): A BRIGHTER BEGINNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 S JONES BLVD STE 104
LAS VEGAS NV
89146-5605
US

IV. Provider business mailing address

2725 S JONES BLVD STE 104
LAS VEGAS NV
89146-5605
US

V. Phone/Fax

Practice location:
  • Phone: 702-384-2238
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID E LINDEN
Title or Position: OWNER
Credential: MD
Phone: 702-384-2238