Individual provider · Type 1 NPI
Kelli Nissen
Gerontology Nurse Practitioner · Las Vegas, NV
NPI number
1952093692
Active
Practice location
7730 W Cheyenne Ave Ste 107
Las Vegas, NV 89129-8412
Fax (833) 485-4980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 867835 (NV) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1952093692
Kelli Nissen's National Provider Identifier is 1952093692, issued on May 22, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 15, 2026.