Provider Demographics
NPI:1780347484
Name:MORE THAN MEDICAL WELLNESS
Entity type:Organization
Organization Name:MORE THAN MEDICAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FREE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-326-7818
Mailing Address - Street 1:5875 S RAINBOW BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2556
Mailing Address - Country:US
Mailing Address - Phone:702-465-7471
Mailing Address - Fax:949-404-6317
Practice Address - Street 1:5875 S RAINBOW BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2556
Practice Address - Country:US
Practice Address - Phone:702-465-7471
Practice Address - Fax:949-404-6317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty