MEDICARE: BLISS FAMILY PRACTICE 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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1710708748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISS FAMILY PRACTICE LLC

Provider Business Mailing Address
First Line	:	3909 S MARYLAND PKWY STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7526
Country	:	US
Telephone Number	:	702-623-8010
Fax Number	:	702-825-2662

Provider Business Practice Location Address
First Line	:	3909 S MARYLAND PKWY STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7526
Country	:	US
Telephone Number	:	702-623-8010
Fax Number	:	702-825-2662

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	CHRISTINE TOROSSIAN
Credential	:
Telephone Number	:	702-623-8010

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	11/15/2024

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Directions to “BLISS FAMILY PRACTICE LLC ” Practice Location

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