Allison Andersen

Individual provider Active NPI Nurse Practitioner · Las Vegas, NV

NPI 1487048419 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1487048419
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN001523 (NV)
Practice address
1800 W Charleston Blvd
Suite 505
Las Vegas, NV 89102-2329
Phone
(702) 383-3814
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
APRN001523NVMDClinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: aandersen18766@direct.umcsn.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X APRN001523 NV
Nurse Practitioner 363L00000X APRN001523 NV Yes

Addresses

Primary practice location

1800 W Charleston Blvd
Suite 505
Las Vegas, NV 89102-2329

Mailing address

1800 W Charleston Blvd Ste 509
Las Vegas, NV 89102-2329

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Nurse Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.