Individual provider · Type 1 NPI

Keshavan Kodandapani, APN

Nurse Practitioner · Las Vegas, NV

NPI number 1124167440 Active

Practice location

5757 Wayne Newton Blvd.
Las Vegas, NV 89111

Fax (702) 383-1991

Mailing address

1800 W. Charleston Blvd.
Las Vegas, NV 89102

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XAPN000923 (NV)
Nurse Practitioner Primary 363L00000XAPRN000923 (NV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124167440

Keshavan Kodandapani, APN's National Provider Identifier is 1124167440, issued on Feb 5, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 6, 2021.