Organization · Type 2 NPI
Southwest Prestige Pediatrics & Aesthetics PLLC
Primary Care Nurse Practitioner · Las Vegas, NV
NPI number
1194603514
Active
Practice location
8680 W Sunset Rd Ste E200
Las Vegas, NV 89148-5423
Fax (702) 800-8442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1194603514
Southwest Prestige Pediatrics & Aesthetics PLLC's National Provider Identifier is 1194603514, issued on Aug 25, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 2, 2026.