Healthcare Provider Details

I. General information

NPI: 1144983818
Provider Name (Legal Business Name): EVOLVE HEALTH NV CARTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8285 W ARBY AVE STE 200
LAS VEGAS NV
89113-2236
US

IV. Provider business mailing address

8285 W ARBY AVE STE 200
LAS VEGAS NV
89113-2236
US

V. Phone/Fax

Practice location:
  • Phone: 725-212-4523
  • Fax: 725-212-4524
Mailing address:
  • Phone: 725-212-4523
  • Fax: 725-212-4524

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: JOHN PERRY
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 503-447-3285