702 Psychiatry

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV

NPI 1821893868 · NPPES record last updated Feb 14, 2025

Key facts

NPI
1821893868
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
702 PSYCHIATRY
Practice address
5440 W Sahara Ave Ste 106
Las Vegas, NV 89146-0360
Phone
(702) 380-8200
Fax
(702) 380-3220
NPI assigned
Feb 14, 2025
Organization subpart
No

Authorized official

Name
Kristy Smith, NP
Title
Owner
Phone
(702) 380-8200

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

5440 W Sahara Ave Ste 106
Las Vegas, NV 89146-0360

Mailing address

5440 W Sahara Ave Ste 106
Las Vegas, NV 89146-0360
Phone (702) 380-8200

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Psychiatric/Mental Health Nurse Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.