OrganizationActive
Ideal Healthcare LLC
NPI 1982417747 · Primary Care Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1982417747
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Iredila Bynum, Managing Member(702) 588-1780
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
2635 Evolutionary Ln
Las Vegas, NV 89138-6160
Phone: (702) 588-1780
Approximate (ZIP-level) locationGet directions
Mailing address
2635 Evolutionary Ln
Las Vegas, NV 89138-6160
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.