MEDICARE: ITS OK NOT TO BE OK HEALTH CARE, 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	363LF0000X	Family Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1851080725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ITS OK NOT TO BE OK HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	8565 S EASTERN AVE STE 192
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2907
Country	:	US
Telephone Number	:	725-232-1366
Fax Number	:	702-478-2475

Provider Business Practice Location Address
First Line	:	8565 S EASTERN AVE STE 192
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2907
Country	:	US
Telephone Number	:	725-232-1366
Fax Number	:	702-361-0900

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	PATRICIA K IM
Credential	:
Telephone Number	:	725-232-1366

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	01/19/2026

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