Healthcare Provider Details

I. General information

NPI: 1023817624
Provider Name (Legal Business Name): NURTURING CARE PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 SPENCER ST STE 207
LAS VEGAS NV
89119-3914
US

IV. Provider business mailing address

6565 SPENCER ST STE 207
LAS VEGAS NV
89119-3914
US

V. Phone/Fax

Practice location:
  • Phone: 702-429-9090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO SUAREZ
Title or Position: DIRECTOR
Credential:
Phone: 702-764-4968