Provider Demographics
NPI:1467147371
Name:NEVADA HOLISTIC WELLNESS AND PSYCHIATRY CENTER, PLLC
Entity Type:Organization
Organization Name:NEVADA HOLISTIC WELLNESS AND PSYCHIATRY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPANSKIE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-PMHNP
Authorized Official - Phone:702-504-9935
Mailing Address - Street 1:1735 NAVARRE LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3579
Mailing Address - Country:US
Mailing Address - Phone:702-504-9935
Mailing Address - Fax:
Practice Address - Street 1:1735 NAVARRE LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3579
Practice Address - Country:US
Practice Address - Phone:702-504-9935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty