Healthcare Provider Details

I. General information

NPI: 1235068891
Provider Name (Legal Business Name): MEKENI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 S 6TH ST STE 8080
LAS VEGAS NV
89101-6948
US

IV. Provider business mailing address

6282 CYPRESS SPRINGS CIR
LAS VEGAS NV
89148-5198
US

V. Phone/Fax

Practice location:
  • Phone: 702-688-2507
  • Fax: 725-238-1683
Mailing address:
  • Phone: 702-688-2507
  • Fax: 725-238-1683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GINA BALGOYEN
Title or Position: OWNER
Credential: APRN
Phone: 702-688-2507