OrganizationActive
Act Medical Group-Las Vegas Inc
NPI 1124684030 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1124684030
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Maria Macahia, Secretary
Practice location
500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061
Phone: (213) 476-9619
Mailing address
11245 Delano St
North Hollywood, CA 91606
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2019-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.