Individual provider · Type 1 NPI

Kelly Bucalo, APRN

Psychiatric/Mental Health Nurse Practitioner · Henderson, NV

NPI number 1992367080 Active

Practice location

2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X820127 (NV)
Family Nurse Practitioner 363LF0000X820127 (NV)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1992367080

Kelly Bucalo, APRN's National Provider Identifier is 1992367080, issued on Jun 28, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Henderson, NV. The record was last updated on Oct 27, 2026.