Glee Health Medical Institute Nevada LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

GLEE HEALTH MEDICAL INSTITUTE NEVADA LLC

Practice address

1500 S. Sahara Ave
Suite B5
Las Vegas, NV 89104

Phone

(310) 491-8123

Fax

(310) 491-8123

NPI assigned

Nov 10, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry Nwafor Sr., NPNPI 1134697576

Title

Manager

Phone

(310) 491-8123

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry U Nwafor Sr., NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134697576
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1477423903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S NEVADA HIGHWAY 160 STE 104",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482161",
            "telephone_number": "310-491-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S. SAHARA AVE",
            "address_2": "SUITE B5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "310-491-8123",
            "fax_number": "310-491-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEE HEALTH MEDICAL INSTITUTE NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-491-8123",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GLC Wellness Center Health, Inc
• GLC Wellness Center Health, Inc
• GLC Wellness Center LLC
• GLC Wellness Center LLC
• GLC Wellness Center LLC
• Glen J Hime, M.D., PC
• Glen S Cochrane
• Natasha Glenboski
• Glenn E. Hurst DDS a Professional Corporation
• Glenn K. Roter, OD, a Professional Corporation

• Primary Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.