15 Via Brianza Suite 100 Henderson, NV
About Refine Direct Primary Care
Dr. Gina Coccimiglio, DNP,AGPCNP-BC
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Dennis Romankowski, Practice Administrator
Dr. Gina Coccimiglio is a highly skilled Nurse Practitioner licensed in Nevada, California, and Utah, specializing in Adult Primary Care. With over 25 years of dedicated practice, Gina emphasizes preventive care, expertly diagnosing and treating illnesses and injuries, and managing chronic conditions. She serves as the primary point of co
Dr. Gina Coccimiglio is a highly skilled Nurse Practitioner licensed in Nevada, California, and Utah, specializing in Adult Primary Care. With over 25 years of dedicated practice, Gina emphasizes preventive care, expertly diagnosing and treating illnesses and injuries, and managing chronic conditions. She serves as the primary point of contact for all healthcare needs, embodying an idealized vision of compassionate healthcare.
Gina's approach centers around the holistic eight dimensions of well-being, treating her patients with the utmost care and respect as if they were family. She champions a personalized, one-on-one method to primary care, collaborating closely with each patient to achieve their unique health and wellness goals.
Currently, Gina applies her extensive clinical expertise and business acumen to Refine Direct Primary Care & Self Care Shoppe in Lake Las Vegas. This innovative space seamlessly integrates personalized medical care with a curated selection of wellness products. Gina redefines self-care by offering integrative health services, in addition to hosting expert-led workshops, and providing a meticulously crafted retail experience in the serene village of Lake Las Vegas.
Dennis Romankowski, Practice Administrator
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Dennis Romankowski, Practice Administrator
Dennis Romankowski leverages his diverse experience in environmental consulting, winemaking, real estate, marine biology, waste management, and business management as the practice administrator and owner of Refine Direct Primary Care & Self Care Shoppe. With a strong foundation in operations, project management, and strategic planning, De
Dennis Romankowski leverages his diverse experience in environmental consulting, winemaking, real estate, marine biology, waste management, and business management as the practice administrator and owner of Refine Direct Primary Care & Self Care Shoppe. With a strong foundation in operations, project management, and strategic planning, Dennis is well-equipped to oversee both the medical and wellness aspects of the business. His expertise in compliance and sustainable practices, combined with his leadership in the self-care and healthcare sectors, positions him to successfully manage and grow Refine's mission to provide exceptional primary care and premium self-care products.
Mandi Merrill, M.Ed.Psych, Resilient Expert
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Mandi Merrill is a dedicated coach at Refine Direct Primary Care, driven by her passion for fostering resilience and healthy relationships. After noticing a lack of relationship resources while working with youth in Las Vegas, she spent years researching resilience at the University of Nevada Las Vegas, earning her Master's in Educational
Mandi Merrill is a dedicated coach at Refine Direct Primary Care, driven by her passion for fostering resilience and healthy relationships. After noticing a lack of relationship resources while working with youth in Las Vegas, she spent years researching resilience at the University of Nevada Las Vegas, earning her Master's in Educational Psychology. Mandi developed a model to help individuals re-wire their resilience, focusing on how to express oneself effectively during challenging situations. Through her work at Resilient Source, she offers coaching, mentoring, and advocacy to help people navigate difficult times.
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Julia Charvet, RN,BSN,CDCES, TICC,ACC,HWC-BC,
Julia Charvet is a compassionate healthcare professional with over 35 years of experience as a Registered Nurse and over 25 years as a Certified Diabetes Care and Education Specialist. She is also a Board-Certified Health and Wellness Coach and Certified Trauma-Informed Coach, supporting individuals, especially trauma survivors, with empa
Julia Charvet is a compassionate healthcare professional with over 35 years of experience as a Registered Nurse and over 25 years as a Certified Diabetes Care and Education Specialist. She is also a Board-Certified Health and Wellness Coach and Certified Trauma-Informed Coach, supporting individuals, especially trauma survivors, with empathy rooted in her own lived experiences. She is Bilingual in English and Spanish and offers inclusive education and coaching to diverse communities. Julia's passion lies in empowering women, particularly those recovering from narcissistic abuse, to rediscover their self-worth, establish healthy boundaries, and embrace self-care. She believes self-care is the foundation of healing and incorporates mindfulness practices into daily life as a powerful tool for well-being. To connect, email juliacharvet@gmail.com.