Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Healthy Lifeline LLC

Organization Internal Medicine Physician · NPI 1629871744

Healthy Lifeline LLC is an Internal Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3557 Winter Wren St
Las Vegas, NV 89122-3539
Phone: (702) 782-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Internal Medicine Physician Taxonomy 207R00000X
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Infectious Disease Physician Taxonomy 207RI0200X
Primary Care Clinic/Center Taxonomy 261QP2300X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1629871744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Marius Tolentino — Managing Member · (702) 445-4092
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address3557 Winter Wren St, Las Vegas, NV 89122-3539

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