Healthcare Provider Details

I. General information

NPI: 1487571543
Provider Name (Legal Business Name): EXCEL MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4576 N RANCHO DR STE 101
LAS VEGAS NV
89130-3474
US

IV. Provider business mailing address

10624 S EASTERN AVE STE A354
HENDERSON NV
89052-2982
US

V. Phone/Fax

Practice location:
  • Phone: 208-380-1110
  • Fax:
Mailing address:
  • Phone: 208-380-1110
  • Fax:

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: NNEKA NNODIM
Title or Position: NP
Credential:
Phone: 208-380-1110