| Essential Clinic | |
|
600 W Sunset Rd Ste 102 Henderson NV 89011-4112 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Essential Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 W Sunset Rd Ste 102, Henderson, Nevada |
| Authorized Official Name and Position | Wally Joseph (OWNER) |
| Authorized Official Contact | 7252415252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Clinic 600 W Sunset Rd Ste 102 Henderson NV 89011-4112 Ph: (725) 241-5252 | Essential Clinic 600 W Sunset Rd Ste 102 Henderson NV 89011-4112 Ph: (000) 000-0000 |
| NPI Number | 1629659701 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 06/08/2024 |
| Certification Date | 06/08/2024 |
| Medicare PECOS PAC ID | 5395143341 |
|---|---|
| Medicare Enrollment ID | O20211006001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629659701 | NPI | - | NPPES |
| 1326595125 | Other | CA | FAMILY NURSE PRACTITIONER AND PSYCHIATRIC NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Judith L Trevisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760842512 PECOS PAC ID: 5890092688 Enrollment ID: I20161014001098 |
| Provider Name | Veronica N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245768019 PECOS PAC ID: 1456625680 Enrollment ID: I20170926003557 |
| Provider Name | Wally Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326595125 PECOS PAC ID: 2668758632 Enrollment ID: I20211006001722 |
| Provider Name | Brittney Janee Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265166565 PECOS PAC ID: 8123401619 Enrollment ID: I20220816002666 |
| Provider Name | Joseph Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290748 PECOS PAC ID: 1456715135 Enrollment ID: I20230913003401 |
| Provider Name | Brissa Yunuem Arana-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972858223 PECOS PAC ID: 6002354933 Enrollment ID: I20240809003040 |
| Provider Name | David Allan Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295414514 PECOS PAC ID: 9436690476 Enrollment ID: I20240918002114 |
| Provider Name | Priscilla K Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114740024 PECOS PAC ID: 0547796401 Enrollment ID: I20241216002089 |
| Provider Name | Daphne Leanne Franks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316642473 PECOS PAC ID: 9739686007 Enrollment ID: I20251010003472 |
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