Organization · Type 2 NPI

Kietre Medical and Behavioral Clinic

Nurse Practitioner · North Las Vegas, NV

NPI number 1194619619 Active

Practice location

17 Summit Creek Ave
North Las Vegas, NV 89031-6856

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1194619619

Kietre Medical and Behavioral Clinic's National Provider Identifier is 1194619619, issued on Jun 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Las Vegas, NV. The record was last updated on Sep 27, 2026.