OrganizationActive
Enlightenment, LLC
NPI 1902648496 · Multi-Specialty Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1902648496
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Gomez, Owner(702) 471-8182
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2110 E Flamingo Rd Ste 100
Las Vegas, NV 89119-5191
Phone: (725) 331-1100
Fax: (725) 331-1200
Approximate (ZIP-level) locationGet directions
Mailing address
9013 Bonanza Peak Ct
Las Vegas, NV 89178-9330
Registry dates
- Enumerated
- 2024-06-07
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.