MEDICARE: PARISH STARRAE HEALTH 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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1902739303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARISH STARRAE HEALTH LLC

Provider Business Mailing Address
First Line	:	2345 VIA INSPIRADA
Second Line	:	PMB 366
City	:	HENDERSON
State	:	NV
Zip	:	89044-1848
Country	:	US
Telephone Number	:	702-377-2105
Fax Number	:	877-682-6561

Provider Business Practice Location Address
First Line	:	1720 W HORIZON RIDGE PKWY STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4896
Country	:	US
Telephone Number	:	702-623-3250
Fax Number	:

Authorized Official
Title or Position	:	APRN
Name	:	DEOKCHOL PARISH
Credential	:	NP
Telephone Number	:	702-377-2105

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/19/2026

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