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NPI 1558018010 · Adult Health Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1558018010
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 852696 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
801 S Rancho Dr Ste A2
Las Vegas, NV 89106-3870
Phone: (702) 483-3630
Approximate (ZIP-level) locationGet directions
Mailing address
5501 Desert Spring Rd
Las Vegas, NV 89149-6621
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.