Imperial Excell Care Medical Llc

Nurse Practitioner · Las Vegas, NV

Call (702) 258-1384 Directions

At a glance

4055 Spencer St Ste 131, Las Vegas, NV 89119-5251

NPPES record updated Mar 29, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4055 Spencer St Ste 131
Las Vegas, NV 89119-5251

Professional details: NPI, taxonomy & registry record

NPI1619519022

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Registry details

Primary taxonomy: Nurse Practitioner
Taxonomy code: 363L00000X
Enumeration date: Oct 17, 2019
Record updated: Mar 29, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4055 Spencer St Ste 131
Las Vegas, NV 89119-5251

Phone: (702) 258-1384
Fax: (702) 258-1387

Mailing address

4055 SPENCER ST STE 131

LAS VEGAS, NV 891195251

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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