Individual provider · Type 1 NPI

Michael Todd Mathisen, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV

NPI number 1114487881 Active

Practice location

4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802

Call (702) 485-2100 Map

Fax (702) 902-2466

Mailing address

7171 Almerta Ave
Las Vegas, NV 89178-8032

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	818912 (NV)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114487881

Michael Todd Mathisen, APRN, PMHNP-BC's National Provider Identifier is 1114487881, issued on Mar 20, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 20, 2019.