| Western Nevada Wellness and Pain | |
|
1959 E Prater Way Sparks NV 89434-8938 | |
| (775) 525-3025 | |
| Not Available |
| Full Name | Western Nevada Wellness and Pain |
|---|---|
| Speciality | Family Medicine |
| Location | 1959 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Melissa Delamora (PRESIDENT) |
| Authorized Official Contact | 7753043881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Nevada Wellness and Pain 1959 E Prater Way Sparks NV 89434-8938 | Western Nevada Wellness and Pain 1959 E Prater Way Sparks NV 89434-8938 Ph: (775) 525-3025 |
| NPI Number | 1326922493 |
|---|---|
| Provider Enumeration Date | 08/02/2025 |
| Last Update Date | 08/02/2025 |
| Certification Date | 07/24/2025 |
| Medicare PECOS PAC ID | 2264935014 |
|---|---|
| Medicare Enrollment ID | O20250909004590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326922493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 363L00000X | Nurse Practitioner | (NU) | Secondary |
| Provider Name | Melissa Delamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003257775 PECOS PAC ID: 9436459310 Enrollment ID: I20151125000693 |
| Provider Name | Denise Jolene Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235744103 PECOS PAC ID: 7113347931 Enrollment ID: I20201016001520 |
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