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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVENANCE HEALTHCARE LLC

Active Organization

PROVENANCE HEALTHCARE LLC is a Genetic Counselor organization located in LAS VEGAS, Nevada. NPI 1316322738 is currently active in the NPPES registry. Verify at CMS.

Genetic Counselor · LAS VEGAS, NV

Registration Details

NPI Number
1316322738
Provider Type
Organization
NPI Issued
Jul 27, 2015 (11.066850112705 yrs)
Last Updated
Jul 27, 2015
License
OTHER (NV)

Practice Information

Address
5155 S DURANGO DR STE 103
LAS VEGAS, NV, 891130175
Browse NV providers · Browse ZIP 89113
Phone
7024782524
Fax
7027359074
Primary Specialty
Genetic Counselor
170300000X

Other Genetic Counselor Organizations in LAS VEGAS, NV

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.