Individual provider · Type 1 NPI

Keely Brooke Ratajczyk, FNP-BC, FNP-C

Family Nurse Practitioner · Henderson, NV

NPI number 1356100721 Active

Practice location

12300 Las Vegas Blvd S
Henderson, NV 89044-9506

Mailing address

404 Camino Del Rio S Ste 102
San Diego, CA 92108-3586

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X876653 (NV)

Family Nurse Practitioner: Definition to come...

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About NPI 1356100721

Keely Brooke Ratajczyk, FNP-BC, FNP-C's National Provider Identifier is 1356100721, issued on Mar 18, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Henderson, NV. The record was last updated on May 21, 2025.