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General NPI Number Information
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NPI Number | 1649126129
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Entity Type | Organization
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Legal Business Name | WELLNESS & HORMONES AVENUE
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 7965 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-1991
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Country | US
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Telephone | 725-222-8260
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Fax | 725-201-1226
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Provider Business Mailing Address
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Address Line | 9207 TESORAS DR UNIT 301
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City | LAS VEGAS
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State | NV
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Zip | 89144-1547
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Country | US
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Telephone | 725-222-8260
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Fax | 725-201-1226
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | NICOELTTE EBERLINE
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Credential | DNP-FNP
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Telephone | 725-222-8260
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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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