Provider Demographics
NPI:1255101184
Name:PRECIOUS CARE WOMENS HEALTH PLLC
Entity type:Organization
Organization Name:PRECIOUS CARE WOMENS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-380-6136
Mailing Address - Street 1:PO BOX 30085
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89173-0085
Mailing Address - Country:US
Mailing Address - Phone:855-380-6136
Mailing Address - Fax:855-903-4377
Practice Address - Street 1:5580 W FLAMINGO RD STE 106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-0165
Practice Address - Country:US
Practice Address - Phone:855-380-6136
Practice Address - Fax:855-903-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty