Provider Demographics
NPI:1962239491
Name:HEALTHWISE LLC
Entity type:Organization
Organization Name:HEALTHWISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-344-0993
Mailing Address - Street 1:500 N RAINBOW BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1061
Mailing Address - Country:US
Mailing Address - Phone:702-344-0993
Mailing Address - Fax:
Practice Address - Street 1:1562 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-3630
Practice Address - Country:US
Practice Address - Phone:702-344-0993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty