OrganizationActive
Direct Healthcare of Nevada PC
NPI 1689242190 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1689242190
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rilwan Shoyombo, President/Provider(702) 846-5978
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5353 S Jones Blvd
Las Vegas, NV 89118-0537
Phone: (702) 846-5978
Fax: (702) 846-0305
Approximate (ZIP-level) locationGet directions
Mailing address
5353 S Jones Blvd Apt 1016
Las Vegas, NV 89118-0539
Registry dates
- Enumerated
- 2021-06-12
- Last updated
- 2021-07-24
- Certified
- 2021-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.