Centerwell Senior Primary Care (nv) PC

NPI #1154944544 in Henderson, Nevada

Provider Information

NPI Number: 1154944544
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care (nv) PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE (NV) PC
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2020
Last Updated: Jul 3, 2024

Practice Location

Address: 390 W LAKE MEAD PKWY STE 120
City: Henderson
State: Nevada
ZIP Code: 89015-7417
Phone: (725) 220-8477

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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