MEDICARE: AUDRA OMWANGHE

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	363LA2200X	Adult Health Nurse Practitioner	APRN002310	NV
2	363LG0600X	Gerontology Nurse Practitioner	APRN002310	NV
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN002310	NV

General Provider Information

NPI Number	:	1518415132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA OMWANGHE

Provider Business Mailing Address
First Line	:	3085 E FLAMINGO RD
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4308
Country	:	US
Telephone Number	:	702-456-0220
Fax Number	:	702-456-0222

Provider Business Practice Location Address
First Line	:	3085 E FLAMINGO RD
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4308
Country	:	US
Telephone Number	:	702-456-0220
Fax Number	:	702-456-0222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	07/25/2023

Similar Medicare Providers

1265380901 — BLANCA DANESA CAMPOS
Practice Location Address:

3085 E FLAMINGO RD STE A&B
LAS VEGAS, NV
89121-4308

Practice Phone: 702-605-4437
Practice Fax:

1831806413 — ANGELEQUE ROBLES DEGUZMAN RBT
Practice Location Address:

3085 E FLAMINGO RD STE AANDB
LAS VEGAS, NV
89121-4308

Practice Phone: 702-605-4437
Practice Fax: 702-605-4437

1831990324 — FAITH M HAMMONDS
Practice Location Address:

3085 E FLAMINGO RD STE A&B
LAS VEGAS, NV
89121-4308

Practice Phone: 702-605-4437
Practice Fax:

1811394562 — ANDREA BAIR R.D.
Practice Location Address:

3085 E FLAMINGO RD
LAS VEGAS, NV
89121-4308

Practice Phone: 702-436-0835
Practice Fax:

1760936744 — FUTURE BUILDERS OF AMERICA
Practice Location Address:

3085 E FLAMINGO RD , SUITE A
LAS VEGAS, NV
89121-4308

Practice Phone: 702-324-2126
Practice Fax:

1295279131 — THE PSYCH NETWORK
Practice Location Address:

3085 E FLAMINGO RD , SUITE B-1
LAS VEGAS, NV
89121-4308

Practice Phone: 702-457-3792
Practice Fax:

Directions to “ AUDRA OMWANGHE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.