Organization · NPI-2

Advanced Care Options LLC

Nurse Practitioner · Henderson, NV

NPI number1629505375
StatusActive
Last updated in NPPESMay 12, 2017

Details

NPI
1629505375
Entity type
Organization (NPI-2)
Legal business name
Advanced Care Options LLC
Organization subpart
No
Enumeration date
May 12, 2017
Last updated
May 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN001662NVYes

Practice location

508 Jimijo Ct
Henderson, NV 89052-2668

Phone 702-998-9976 · Fax 702-998-2594

Mailing address

508 Jimijo Ct
Henderson, NV 89052-2668

Phone 702-998-9976 · Fax 702-998-2594

Authorized official

Jenifer Ausiello
Co-Owner
7024391482

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