Organization · Type 2 NPI

Vitalis Wound Care LLC

Nurse Practitioner · Las Vegas, NV

NPI number 1417745936 Active

Practice location

3062 Conquista Ct
Las Vegas, NV 89121-3829

Other practice locations

  • 6033 N Kedzie Ave # 2, Chicago, IL 60659-2406 · (702) 673-1930

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
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 1417745936

Vitalis Wound Care LLC's National Provider Identifier is 1417745936, issued on Apr 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 22, 2026.