Provider Demographics
NPI:1659058725
Name:GLOBAL ELITE MEDICAL SERVICES
Entity Type:Organization
Organization Name:GLOBAL ELITE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALDENE
Authorized Official - Middle Name:MONICA
Authorized Official - Last Name:RALLECA LLAGUNO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:775-240-4628
Mailing Address - Street 1:11134 HAYSTACK HILL LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4562
Mailing Address - Country:US
Mailing Address - Phone:775-240-4628
Mailing Address - Fax:
Practice Address - Street 1:3100 MILL ST STE 205
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2217
Practice Address - Country:US
Practice Address - Phone:775-240-4628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL ELITE FINANCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty