NPI 1023964657

Forma Integrated Healthcare

Organisation Specialist Las Vegas, NV

Practice location

Address: 2655 S Rainbow Blvd STE 410, Las Vegas, NV 89146-5100
Phone: (702) 726-9722
Fax: (702) 906-0067

Authorised official

Name: Ann Uganiza
Title: Ceo
Phone: (702) 531-4540

Registered specialties (6)

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Nevada →

Family Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TF0000X

Other Psychologist providers in Nevada →

Wound Care Registered Nurse

Nursing Service Providers Taxonomy 163WW0000X

Other Registered Nurse providers in Nevada →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Nevada →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Other Nurse Practitioner providers in Nevada →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Registry record

NPI: 1023964657
Entity type: Organization
NPI issued: 6 Mar 2026
Record last updated: 9 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.