Valetudo Pllc | |
3201 S Maryland Pkwy Ste 101 Las Vegas NV 89109-2423 | |
(702) 910-6857 | |
(702) 703-4043 |
Full Name | Valetudo Pllc |
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Speciality | Family Medicine |
Location | 3201 S Maryland Pkwy Ste 101, Las Vegas, Nevada |
Authorized Official Name and Position | Jirair Baghdassarian (NP) |
Authorized Official Contact | 7029106857 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valetudo Pllc 3201 S Maryland Pkwy Ste 101 Las Vegas NV 89109-2423 Ph: (702) 910-6857 | Valetudo Pllc 3201 S Maryland Pkwy Ste 101 Las Vegas NV 89109-2423 Ph: (702) 910-6857 |
NPI Number | 1073228193 |
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Provider Enumeration Date | 01/23/2023 |
Last Update Date | 08/21/2025 |
Certification Date | 08/21/2025 |
Medicare PECOS PAC ID | 7517330079 |
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Medicare Enrollment ID | O20230302002431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073228193 | NPI | - | NPPES |
Provider Name | Stephen H Frye |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164755328 PECOS PAC ID: 6103967229 Enrollment ID: I20100111000581 |
Provider Name | Jirair Baghdassarian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760068365 PECOS PAC ID: 0345638995 Enrollment ID: I20211101001110 |
Provider Name | Rachell A Agas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467223842 PECOS PAC ID: 9739626060 Enrollment ID: I20240805003254 |
Provider Name | Tracilli M Beswayan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629812334 PECOS PAC ID: 1456899392 Enrollment ID: I20240809003524 |
Provider Name | Akisha Toussaint |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760026736 PECOS PAC ID: 8123550720 Enrollment ID: I20241021004118 |
Provider Name | Suzanne Swanger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184207698 PECOS PAC ID: 4082144472 Enrollment ID: I20250214001470 |
Provider Name | Arlene N Mcshane |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891507877 PECOS PAC ID: 4183146442 Enrollment ID: I20250317002659 |
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