NPI Profile for FORMA INTEGRATED HEALTHCARE in LAS VEGAS, NV.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Wound Care |
163WW0000X |
| NPI # | 1023964657 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/06/2026 | |
| Last updated | 03/09/2026 - About 3 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FORMA INTEGRATED HEALTHCARE
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