Individual provider · Type 1 NPI

Dominic Mason Etli, APRN

Nurse Practitioner · Las Vegas, NV

NPI number 1962934885 Active

Practice location

540 N Nellis Blvd
Las Vegas, NV 89110-5368

Mailing address

509 Ruby Vista Ct
Las Vegas, NV 89144-4101

Other practice locations

  • 9010 W Cheyenne Ave, Las Vegas, NV 89129-8932 · (702) 240-8646

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAPRN002559 (NV)
Registered Nurse 163W00000X74214 (NV)
Family Nurse Practitioner 363LF0000X002559 (NV)
Nurse Practitioner Primary 363L00000XAPRN002559 (NV)

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 1962934885

Dominic Mason Etli, APRN's National Provider Identifier is 1962934885, issued on Mar 30, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 22, 2021.