MEDICARE: SYNERGY CARE PROVIDERS PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1194421065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY CARE PROVIDERS PLLC

Provider Business Mailing Address
First Line	:	8016 KENTSHIRE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8016 KENTSHIRE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3927
Country	:	US
Telephone Number	:	702-508-4777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARRYL CHRISTIAN ALTAVAS
Credential	:
Telephone Number	:	702-508-4777

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	08/22/2025

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Directions to “SYNERGY CARE PROVIDERS PLLC ” Practice Location

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