| Gay And Lesbian Community Center Of Southern Nevada Inc | |
|
401 S Maryland Pkwy Las Vegas NV 89101-7206 | |
| (702) 733-9800 | |
| (702) 733-9550 |
| Full Name | Gay And Lesbian Community Center Of Southern Nevada Inc |
|---|---|
| Speciality | General Practice |
| Location | 401 S Maryland Pkwy, Las Vegas, Nevada |
| Authorized Official Name and Position | Latasha Pittman (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5126236995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gay And Lesbian Community Center Of Southern Nevada Inc 401 S Maryland Pkwy Las Vegas NV 89101-7206 Ph: (702) 733-9800 | Gay And Lesbian Community Center Of Southern Nevada Inc 401 S Maryland Pkwy Las Vegas NV 89101-7206 Ph: (702) 733-9800 |
| NPI Number | 1821741299 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 8628463635 |
|---|---|
| Medicare Enrollment ID | O20220309001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821741299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jerry L Cade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346311354 PECOS PAC ID: 2264458298 Enrollment ID: I20051019000861 |
| Provider Name | Priscilla Vernice Otoo-adjorlolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780887463 PECOS PAC ID: 1759568470 Enrollment ID: I20190927001338 |
| Provider Name | Howard Grossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710951694 PECOS PAC ID: 4284795287 Enrollment ID: I20230717001480 |
| Provider Name | Sarah Helen Sentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659887412 PECOS PAC ID: 9335409796 Enrollment ID: I20230727002507 |
| Provider Name | Emily W Browand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548985146 PECOS PAC ID: 3375907991 Enrollment ID: I20230915001412 |
| Provider Name | Thomas Christopher Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073397592 PECOS PAC ID: 5092163352 Enrollment ID: I20231127002033 |
| Provider Name | Lori Insera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962717991 PECOS PAC ID: 5193126266 Enrollment ID: I20241121003882 |
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