IndividualActive
Shadi Usefi-Moridani, APN
NPI 1104920206 · Pediatric Nurse Practitioner · No. Las Vegas, NV
Provider details
- NPI number
- 1104920206
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- RN55045 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1905 Civic Center Dr.
No. Las Vegas, NV 89030
Phone: (702) 649-3736
Fax: (702) 312-3510
Approximate (ZIP-level) locationGet directions
Mailing address
5701 W. Charleston Blvd.
Las Vegas, NV 89146
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.