OrganizationActive
Home Professional Nurse Practitioner LLC
NPI 1669944484 · Primary Care Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1669944484
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Mae Lueck, Ceo
Practice location
3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928
Phone: (702) 913-9380
Mailing address
3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2018-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.