Provider Demographics
NPI:1760005995
Name:DR. NIKKI NP LLC
Entity Type:Organization
Organization Name:DR. NIKKI NP LLC
Other - Org Name:ELITE HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-CNP
Authorized Official - Phone:702-336-0843
Mailing Address - Street 1:1070 W HORIZON RIDGE PKWY STE 111
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-6019
Mailing Address - Country:US
Mailing Address - Phone:702-336-0843
Mailing Address - Fax:469-242-9677
Practice Address - Street 1:1070 W HORIZON RIDGE PKWY STE 111
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-6019
Practice Address - Country:US
Practice Address - Phone:702-336-0843
Practice Address - Fax:469-242-9677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care