=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083163182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EXCEEDING HEALTHCARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2016
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 626 N RAINBOW BLVD
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89107-1101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-778-7782
-----------------------------------------------------
Fax | 702-333-4436
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 626 N RAINBOW BLVD
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89107-1101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-778-7782
-----------------------------------------------------
Fax | 702-333-4436
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AO
-----------------------------------------------------
Name | EUNICE UGOCHUKWU
-----------------------------------------------------
Credential | DNP
-----------------------------------------------------
Telephone | 702-778-7782
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 001660
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------