Organization · NPI-2

A V Coleman LLC

Nurse Practitioner · Henderson, NV

NPI number1114803962
StatusActive
Last updated in NPPESAug 14, 2025

Details

NPI
1114803962
Entity type
Organization (NPI-2)
Legal business name
A V Coleman LLC
Organization subpart
No
Enumeration date
Aug 14, 2025
Certification date
Aug 14, 2025
Last updated
Aug 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

416 Calabria Beach St
Henderson, NV 89015-2442

Phone 702-299-5626

Mailing address

416 Calabria Beach St
Henderson, NV 89015-2442

Authorized official

Avelina Villosillo Coleman
Owner
7022995626

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