Provider Demographics
NPI:1932712668
Name:ELEVATED HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ELEVATED HEALTH SERVICES LLC
Other - Org Name:ANCHOR FAMILY HEALTH AND TELEMEDICINE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:702-674-2204
Mailing Address - Street 1:PO BOX 400932
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-0932
Mailing Address - Country:US
Mailing Address - Phone:702-445-0060
Mailing Address - Fax:
Practice Address - Street 1:304 S JONES BLVD STE 2370
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-2623
Practice Address - Country:US
Practice Address - Phone:702-674-2204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty