Provider Demographics
NPI:1851080725
Name:ITS OK NOT TO BE OK HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ITS OK NOT TO BE OK HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:IM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:725-232-1366
Mailing Address - Street 1:8565 S EASTERN AVE STE 192
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2907
Mailing Address - Country:US
Mailing Address - Phone:725-232-1366
Mailing Address - Fax:702-361-0900
Practice Address - Street 1:8565 S EASTERN AVE STE 192
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2907
Practice Address - Country:US
Practice Address - Phone:725-232-1366
Practice Address - Fax:702-361-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty