MEDICARE: FAMILY FIRST MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	10975	NV

General Provider Information

NPI Number	:	1114114865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FIRST MEDICAL LLC

Provider Business Mailing Address
First Line	:	1725 E WARM SPRINGS RD
Second Line	:	SUITE 12
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0420
Country	:	US
Telephone Number	:	702-260-0577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 E WARM SPRINGS RD
Second Line	:	SUITE 12
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0420
Country	:	US
Telephone Number	:	702-260-0577
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. EVARISTA CHRISTIANA NNADI
Credential	:	M.D
Telephone Number	:	702-260-0577

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	10/10/2007

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Directions to “FAMILY FIRST MEDICAL LLC ” Practice Location

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