OrganizationVitality Medical And Wellness CenterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5765 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5625(702) 731-1200PECOS EnrollmentBased on the most recent information from CMS, provider Vitality Medical And Wellness Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1629486113Provider TypeOrganizationFull NameVitality Medical And Wellness CenterSubpartNoEnumeration Date7/28/2014Last Updated6/22/2022Contact InformationPractice LocationPractice Address5765 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5625Phone(702) 731-1200Fax(702) 736-6302Mailing LocationMailing Address5765 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5625Phone(702) 731-1200Fax(702) 736-6302Authorized OfficialNameThomas, Cristy M (Provider/Owner)Phone(702) 731-1200Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN37436Nevada