IndividualActive
Rennette Bulatao, NURSE PRACTITIONER
NPI 1285364877 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1285364877
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 815814 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4475 S Eastern Ave
Las Vegas, NV 89119-7826
Phone: (702) 877-5119
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35380
Las Vegas, NV 89133-5380
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.