Provider Demographics
NPI:1164176327
Name:I HEALTH MEDICAL LLC
Entity Type:Organization
Organization Name:I HEALTH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:REYNANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAHERMOSA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:702-885-6457
Mailing Address - Street 1:8115 DANCING BULL CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6702
Mailing Address - Country:US
Mailing Address - Phone:702-462-1178
Mailing Address - Fax:855-214-7520
Practice Address - Street 1:8115 DANCING BULL CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-6702
Practice Address - Country:US
Practice Address - Phone:702-462-1178
Practice Address - Fax:855-214-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty