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

Primary Care of Southern Nevada

Organization Internal Medicine Physician · NPI 1821026824

Primary Care of Southern Nevada is an Internal Medicine Physician in Henderson, Nevada. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2225 Village Walk Dr Ste 270
Henderson, NV 89052-5679
Phone: (702) 993-0333
Fax: (702) 990-0336
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1821026824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Van Wagner — Owner · (702) 990-0333
NPI enumeratedJune 29, 2006
Last updated in NPPESOctober 23, 2007
Mailing address2225 Village Walk Dr, Suite 270, Henderson, NV 89052-5679

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