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NOVA HEALTHCARE GROUP LLC
NPI 1548754690
Nurse Practitioner - Adult Health in Las Vegas, NV

Active since June 20, 2018
175 CROOKED PUTTER DR, LAS VEGAS, NV 89148(702) 268-8900(702) 664-6729 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2022, Aug 3, 2022, Dec 21, 2020 and 3 more (6 updates tracked since 2018).

About Nova Healthcare Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVA HEALTHCARE GROUP LLC (NPI 1548754690), doing business as Nova Healthcare Group, is a healthcare organization registered as an adult health in Las Vegas, Nevada and active in the NPI registry since June 2018. The organization lists Anneleisa Gail Mcdonald, Provider/ Owner, as its authorized official.

NPPES Registry Identity

NPI1548754690
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameNOVA HEALTHCARE GROUP LLC
Location Address175 CROOKED PUTTER DRLas Vegas, NV 89148-5228
Mailing Address175 Crooked Putter DrLas Vegas, NV 89148-5228 · (702) 268-8900 · Fax (702) 664-6729
Phone(702) 268-8900
Fax(702) 664-6729
Organization SubpartNo
Authorized OfficialAnneleisa Gail McdonaldProvider/ Owner · (702) 268-8900
Enumeration DateJune 20, 2018
Last NPPES UpdateSeptember 28, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1548754690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NV · 002927
175 CROOKED PUTTER DR, Las Vegas, NV 89148
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Other Names 1

Former Legal Business NameNova Healthcare Group

Other Identifiers 1

Medicaid1760723092NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nova Healthcare Group LLC's NPI number?

The NPI number for Nova Healthcare Group LLC is 1548754690. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider was formerly known as Nova Healthcare Group.

Where is Nova Healthcare Group LLC located?

Nova Healthcare Group LLC is located at 175 Crooked Putter Dr, Las Vegas, NV 89148. The listed phone number is (702) 268-8900.

What is Nova Healthcare Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Nova Healthcare Group LLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.