Provider Demographics
NPI:1750783270
Name:INTEGRATIVE WOMEN'S HEALTHCARE OF NEVADA
Entity type:Organization
Organization Name:INTEGRATIVE WOMEN'S HEALTHCARE OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBI
Authorized Official - Middle Name:UHERI
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-853-1400
Mailing Address - Street 1:2633 W.HORIZON RIDGE PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4833
Mailing Address - Country:US
Mailing Address - Phone:702-853-1400
Mailing Address - Fax:
Practice Address - Street 1:2633 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4832
Practice Address - Country:US
Practice Address - Phone:702-853-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10746261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty