IndividualActive
Kelli Nissen
NPI 1952093692 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1952093692
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 867835 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7730 W Cheyenne Ave Ste 107
Las Vegas, NV 89129-8412
Phone: (725) 333-9218
Fax: (833) 485-4980
Approximate (ZIP-level) locationGet directions
Mailing address
7730 W Cheyenne Ave Ste 107
Las Vegas, NV 89129-8412
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2026-03-15
- Certified
- 2026-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.