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

Las Vegas Functional Health and Wellness

Organization Nurse Practitioner · NPI 1417743980

Las Vegas Functional Health and Wellness is a Nurse Practitioner 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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