Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Las Vegas Functional Health and Wellness

Organization Nurse Practitioner · NPI 1417743980

Las Vegas Functional Health and Wellness provides Nurse Practitioner services in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2580 N Rancho Dr Ste 103
Las Vegas, NV 89130-3361
Phone: (818) 795-7597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417743980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcella Berry — President · (818) 795-7597
NPI enumeratedApril 19, 2025
Last updated in NPPESApril 19, 2025
Certification dateApril 18, 2025
Mailing address2580 N Rancho Dr Ste 103, Las Vegas, NV 89130-3361

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