Healthcare Provider Details

I. General information

NPI: 1346026697
Provider Name (Legal Business Name): BEYOND HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9794 TURTLE HEAD CT
LAS VEGAS NV
89117-8437
US

IV. Provider business mailing address

9794 TURTLE HEAD CT
LAS VEGAS NV
89117-8437
US

V. Phone/Fax

Practice location:
  • Phone: 702-850-1442
  • Fax: 702-745-0881
Mailing address:
  • Phone: 702-850-1442
  • Fax: 702-745-0881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NICOLE PHILLIPS
Title or Position: MANAGING MEMBER
Credential: NP
Phone: 702-850-1442