OrganizationActive
Healthy Lifeline LLC
NPI 1629871744 · Primary Care Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1629871744
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Marius Tolentino, Managing Member(702) 445-4092
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3557 Winter Wren St
Las Vegas, NV 89122-3539
Phone: (702) 782-7828
Approximate (ZIP-level) locationGet directions
Mailing address
3557 Winter Wren St
Las Vegas, NV 89122-3539
Registry dates
- Enumerated
- 2025-04-01
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.