Organization Active NPI

Raven Health and Wellness LLC

  • Family Nurse Practitioner
  • Pahrump, NV
National Provider Identifier
1124949664
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jul 22, 2026

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.