| Desert Sky Medical Llc | |
|
840 Pinnacle Ct Bldg 10 Mesquite NV 89027-3303 | |
| (775) 225-1414 | |
| (775) 225-1415 |
| Full Name | Desert Sky Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 840 Pinnacle Ct Bldg 10, Mesquite, Nevada |
| Authorized Official Name and Position | Kristy Leany (OWNER) |
| Authorized Official Contact | 4356690984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Sky Medical Llc 840 Pinnacle Ct Bldg 10 Mesquite NV 89027-3303 Ph: () - | Desert Sky Medical Llc 840 Pinnacle Ct Bldg 10 Mesquite NV 89027-3303 Ph: (775) 225-1414 |
| NPI Number | 1245833235 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Medicare PECOS PAC ID | 4981016565 |
|---|---|
| Medicare Enrollment ID | O20201228000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245833235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Noreen Borino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396909826 PECOS PAC ID: 2163575762 Enrollment ID: I20090729000713 |
| Provider Name | Kristen Leany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396238630 PECOS PAC ID: 4688913163 Enrollment ID: I20201116002129 |
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