Organization · Type 2 NPI
Las Vegas Ketamine LLC
Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
NPI number
1710696877
Active
Practice location
7390 W Sahara Ave Ste 270
Las Vegas, NV 89117-2765
Mailing address
5519 Bruin Lakes St
Las Vegas, NV 89131-5921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1710696877
Las Vegas Ketamine LLC's National Provider Identifier is 1710696877, issued on Nov 17, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on May 22, 2026.