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Contact Information

WELLNESS DIVERSITY LLC
3195 SAINT ROSE PKWY STE 212
HENDERSON, NV89052-3504
 Phone: 702-301-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for WELLNESS DIVERSITY LLC · (Female)

NPI # 1457281503
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2026
Last updated 05/20/2026 - About 2 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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