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General NPI Number Information
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NPI Number | 1225889215
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Entity Type | Organization
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Legal Business Name | ADVANCED PRIMARY AND PSYCHIATRIC CARE PLLC
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 1641 E FLAMINGO RD STE 8
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City | LAS VEGAS
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State | NV
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Zip | 89119-5257
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Country | US
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Telephone | 702-476-9044
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Fax | 702-472-9772
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Provider Business Mailing Address
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Address Line | 1641 E FLAMINGO RD STE 8
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City | LAS VEGAS
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State | NV
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Zip | 89119-5257
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Country | US
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Telephone | 702-476-9044
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Fax | 702-472-9772
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Authorized Official
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Title or Position | OWNER
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Name | ELSIE CREASON
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Credential |
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Telephone | 702-476-9044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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