| Avant-garde Center For Wellness | |
|
1510 W Sunset Rd Ste 110 Henderson NV 89014-2695 | |
| (888) 375-8698 | |
| (702) 342-8108 |
| Full Name | Avant-garde Center For Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1510 W Sunset Rd Ste 110, Henderson, Nevada |
| Authorized Official Name and Position | Vanessa C Parker (PRESIDENT,CEO) |
| Authorized Official Contact | 3232524569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant-garde Center For Wellness 1510 W Sunset Rd Ste 110 Henderson NV 89014-2695 Ph: (888) 375-8698 | Avant-garde Center For Wellness 1510 W Sunset Rd Ste 110 Henderson NV 89014-2695 Ph: (888) 375-8698 |
| NPI Number | 1235795824 |
|---|---|
| Provider Enumeration Date | 05/19/2019 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Medicare PECOS PAC ID | 3476982802 |
|---|---|
| Medicare Enrollment ID | O20200406000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235795824 | NPI | - | NPPES |
| 1235795824 | Medicaid | NV |
| Provider Name | Vanessa C Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427366749 PECOS PAC ID: 9931360211 Enrollment ID: I20190122003244 |
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