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Specialist

FORMA INTEGRATED HEALTHCARE

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1023964657 · enumerated 2026-03-06 · record updated 2026-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: ANN UGANIZA, CEO · (702) 531-4540

Addresses and phones

Mailing address 2655 S RAINBOW BLVD STE 410, LAS VEGAS, NV, 89146-5100 (702) 726-9722 Fax (702) 906-0067 Google Maps Apple Maps OpenStreetMap
Practice location 2655 S RAINBOW BLVD STE 410, LAS VEGAS, NV, 89146-5100 (702) 726-9722 Fax (702) 906-0067 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Family 363LF0000X
Family Medicine 207Q00000X
Nurse Practitioner, Psych/Mental Health 363LP0808X
Registered Nurse, Wound Care 163WW0000X
Psychologist, Family 103TF0000X
Specialist 174400000X · Primary

In this directory

NV Clark County Las Vegas Specialist

Locations and evidence

Practice location LAS VEGAS, NV, 891465100
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.