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

Integrated Medical Clinic LLC

Organization Family Nurse Practitioner · NPI 1811782584

Integrated Medical Clinic LLC is a Family Nurse Practitioner in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

501 S Rancho Dr Ste F38
Las Vegas, NV 89106-4834
Phone: (323) 347-0008
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1811782584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Godwin — Owner · (323) 347-0008
NPI enumeratedApril 11, 2025
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address501 S Rancho Dr Ste F38, Las Vegas, NV 89106-4834

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