Active NPI
Raven Health and Wellness LLC
- Family Nurse Practitioner
- Pahrump, NV
National Provider Identifier
1124949664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RAVEN HEALTH AND WELLNESS LLC
- Practice address
- 2270 Commercial Dr Unit 2
Pahrump, NV 89048-4704 - Phone
- (725) 253-5127
- NPI assigned
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel Ambrose
- Title
- Owner
- Phone
- (907) 388-6308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2270 Commercial Dr Unit 2
Pahrump, NV 89048-4704
Mailing address
1145 Park Dr
Fairbanks, AK 99709-4714
Phone (907) 388-6308
National Provider Directory
National Provider DirectoryLocations
2270 Commercial Dr
#2
Pahrump, NV 89048
Phone (775) 318-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1124949664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 PARK DR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094714",
"telephone_number": "907-388-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 COMMERCIAL DR UNIT 2",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890484704",
"telephone_number": "725-253-5127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAVEN HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "AMBROSE",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-388-6308"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.