| Primewell Solutions Llc | |
|
415 S Decatur Blvd Las Vegas NV 89107-2812 | |
| (702) 659-8841 | |
| Not Available |
| Full Name | Primewell Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 S Decatur Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Nancy Diago (CEO) |
| Authorized Official Contact | 7259103725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primewell Solutions Llc 6385 Black Swan Ln Las Vegas NV 89118-1998 Ph: () - | Primewell Solutions Llc 415 S Decatur Blvd Las Vegas NV 89107-2812 Ph: (702) 659-8841 |
| NPI Number | 1760235154 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 07/26/2024 |
| Medicare PECOS PAC ID | 1658804455 |
|---|---|
| Medicare Enrollment ID | O20241101000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760235154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Nancy Diago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063754471 PECOS PAC ID: 8224263959 Enrollment ID: I20131104001776 |
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