Individual provider · Type 1 NPI

Melodie G. Mantooth Null, LPN

Licensed Practical Nurse · Las Vegas, NV

NPI number 1710736715 Active

Practice location

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Fax (702) 982-5286

Mailing address

3251 Casey Dr Apt 104
Las Vegas, NV 89120-1104

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X17934 (NV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1710736715

Melodie G. Mantooth Null, LPN's National Provider Identifier is 1710736715, issued on May 14, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Las Vegas, NV. The record was last updated on May 14, 2024.