Healthcare Provider Details

I. General information

NPI: 1750815304
Provider Name (Legal Business Name): PASTEUR MEDICAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 04/02/2022
Certification Date: 04/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7772 SODA CANYON ST
LAS VEGAS NV
89139-6441
US

IV. Provider business mailing address

304 S JONES BLVD STE 3501
LAS VEGAS NV
89107-2623
US

V. Phone/Fax

Practice location:
  • Phone: 702-528-1099
  • Fax: 702-442-2121
Mailing address:
  • Phone: 702-528-1099
  • Fax: 702-442-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MUKWEL AIYUK
Title or Position: PRESIDENT
Credential: DNP, PMHNP, FNP
Phone: 775-233-5409