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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

NPI Number 1457281503
LBN Legal business name WELLNESS DIVERSITY LLC
Authorized official HAYDEE DOCASAR - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/20/2026
Last updated 05/20/2026 - About 2 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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