A Healthy Life Center LLC
Internal Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1619750023
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1619750023
- Entity type
- Organization (NPI-2)
- Legal business name
- A Healthy Life Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2023
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 202D00000X | Integrative Medicine | – | – | |
| 208D00000X | General Practice | – | – | |
| 208M00000X | Hospitalist | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
1045 Yucca AveLas Vegas, NV 89104-1541
Phone 725-237-2769 · Fax 702-548-0716
Mailing address
Po Box 33443Las Vegas, NV 89133-3443
Phone 725-237-2769 · Fax 702-548-0716
Authorized official
George L Anderson
Chief Executive Officer
7252372769
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