Provider Demographics
NPI:1891494134
Name:PRIMARY CHOICE HEALTH AND WELLNESS PLLC
Entity Type:Organization
Organization Name:PRIMARY CHOICE HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIKLAUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C FNP
Authorized Official - Phone:775-299-2820
Mailing Address - Street 1:1188 COURT ST # 106
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-3947
Mailing Address - Country:US
Mailing Address - Phone:775-299-2820
Mailing Address - Fax:
Practice Address - Street 1:1910 IDAHO ST STE 101
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2635
Practice Address - Country:US
Practice Address - Phone:775-299-2820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy