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NPI Code Detail

MEDICARE: VALUEHEALTH MOBILE GROUP INC.

MEDICARE: VALUEHEALTH MOBILE GROUP INC.
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
1363LP2300XPrimary Care Nurse PractitionerAPRN001480NV

General Provider Information

NPI Number : 1255783403
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALUEHEALTH MOBILE GROUP INC.
Provider Business Mailing Address
First Line : 2300 W SAHARA AVE
Second Line : SUITE 800
City : LAS VEGAS
State : NV
Zip : 89102-4352
Country : US
Telephone Number : 702-489-4996
Fax Number :
Provider Business Practice Location Address
First Line : 2300 W SAHARA AVE
Second Line : SUITE 800
City : LAS VEGAS
State : NV
Zip : 89102-4352
Country : US
Telephone Number : 702-489-4996
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MRS. JULIETA PASIMIO
Credential :
Telephone Number : 702-971-2237
Provider Enumeration Date : 07/11/2016
Last Update Date : 11/20/2018

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