Individual provider · Type 1 NPI
Nicole Marie Serge, APRN
Emergency Registered Nurse · Las Vegas, NV
NPI number
1104724996
Active
Practice location
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Mailing address
8479 Barossa Ct
Las Vegas, NV 89117-9158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 906146 (NV) |
| Emergency Registered Nurse Primary | 163WE0003X | RN94363 (NV) |
Emergency Registered Nurse: Definition to come...
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About NPI 1104724996
Nicole Marie Serge, APRN's National Provider Identifier is 1104724996, issued on Oct 30, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 30, 2026.