Provider Demographics
NPI:1558085951
Name:WELLNESS WITH MOLINA & ASSOCIATES LLC
Entity Type:Organization
Organization Name:WELLNESS WITH MOLINA & ASSOCIATES LLC
Other - Org Name:WELLNESS WITH MOLINA & ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUZVIMINDA
Authorized Official - Middle Name:ZARATE
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:916-715-4708
Mailing Address - Street 1:2651 N GREEN VALLEY PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0234
Mailing Address - Country:US
Mailing Address - Phone:702-513-6470
Mailing Address - Fax:833-464-4665
Practice Address - Street 1:2651 N GREEN VALLEY PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0234
Practice Address - Country:US
Practice Address - Phone:702-513-6470
Practice Address - Fax:833-464-4665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty