Healthcare Provider Details

I. General information

NPI: 1639841133
Provider Name (Legal Business Name): MR. ARMEN NAGAPETIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ARMEN NAGAPETIAN ARMBROS STUDIO LLC

II. Dates (important events)

Enumeration Date: 10/02/2021
Last Update Date: 10/02/2021
Certification Date: 10/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 LIVING DESERT DR APT C
LAS VEGAS NV
89119-6358
US

IV. Provider business mailing address

1511 LIVING DESERT DR APT C
LAS VEGAS NV
89119-6358
US

V. Phone/Fax

Practice location:
  • Phone: 702-525-4890
  • Fax:
Mailing address:
  • Phone: 702-525-4890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: