Edicine Im Pllc

NPI #1982388054 in Henderson, Nevada

Provider Information

NPI Number: 1982388054
Entity Type: Organization
Organization Name: Edicine Im Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 2551 N GREEN VALLEY PKWY STE 425A
City: Henderson
State: Nevada
ZIP Code: 89014-0272
Phone: (702) 423-9566

Authorized Official

Name: MICHAEL PAUL CARSON
Title: BILLING MANAGER
Phone: (480) 626-1415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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