OrganizationActive
Advanced Care & Wellness Center LLC
NPI 1073342390 · General Practice Physician · Las Vegas, NV
Provider details
- NPI number
- 1073342390
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gloria Cruz, Member Manager(702) 591-3381
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Technician374700000X
Nursing Service Related Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
855 E Twain Ave Ste 105
Las Vegas, NV 89169-0820
Phone: (702) 591-3381
Approximate (ZIP-level) locationGet directions
Mailing address
1098 Aspen Breeze Ave
Las Vegas, NV 89123-3195
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.