Nelson Jong Kwowi, | |
5121 Blue Rose St, North Las Vegas, NV 89081-2678 | |
(469) 490-1505 | |
(469) 490-1516 |
Full Name | Nelson Jong Kwowi |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5121 Blue Rose St, North Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689203853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 888347 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1019811 (Texas) | Primary |
Entity Name | Zane Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801495932 PECOS PAC ID: 0345642476 Enrollment ID: O20210713001027 |
Entity Name | Regency Psychiatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902540974 PECOS PAC ID: 5294118584 Enrollment ID: O20231215001255 |
Mailing Address | Practice Location Address |
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Nelson Jong Kwowi, 5904 Lantern Ln, Grand Prairie, TX 75052-8768 Ph: (325) 320-0414 | Nelson Jong Kwowi, 5121 Blue Rose St, North Las Vegas, NV 89081-2678 Ph: (469) 490-1505 |
Mrs. Margaurita Beth Monroe, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Recco Ave, North Las Vegas, NV 89030 Phone: 518-209-4327 | |
Sharlynne Anne Maucesa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Mrs. Michelle Lassiter-stephens, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Visible Ave, North Las Vegas, NV 89031 Phone: 404-789-5063 | |
Lani Lim Souza, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 508-493-7793 | |
Josefina Andres Ascano, APNC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1825 Civic Center Dr, North Las Vegas, NV 89030 Phone: 702-642-8313 | |
Tyrone Robinson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2842 E Lake Mead Blvd, North Las Vegas, NV 89030 Phone: 702-994-7267 | |
Earl Danielle Eugenio Salviejo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 W Craig Rd Ste 100, North Las Vegas, NV 89032 Phone: 702-777-3615 Fax: 702-642-0808 |