Provider Demographics
NPI:1720762479
Name:M3 HEALTHCARE PARTNERS LLC
Entity type:Organization
Organization Name:M3 HEALTHCARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARITES
Authorized Official - Middle Name:GALLO
Authorized Official - Last Name:CASTILLO BUSTAMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:725-308-8401
Mailing Address - Street 1:6140 COLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5211
Mailing Address - Country:US
Mailing Address - Phone:725-308-8401
Mailing Address - Fax:
Practice Address - Street 1:6140 COLEY AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5211
Practice Address - Country:US
Practice Address - Phone:725-308-8401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty