MEDICARE: ADVANCED PRACTICE PSYCHIATRY OF NEVADA LCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1134790660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PRACTICE PSYCHIATRY OF NEVADA LCC

Provider Business Mailing Address
First Line	:	1573 DARK WOLF AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1573 DARK WOLF AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4859
Country	:	US
Telephone Number	:	702-405-7366
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REIMUND SERAFICA
Credential	:
Telephone Number	:	702-405-7366

Provider Enumeration Date	:	07/06/2021
Last Update Date	:	07/07/2021

Similar Medicare Providers

1093505711 — IVAN LLOYD BOAYES LAROGA
Practice Location Address:

1560 DARK WOLF AVE
LAS VEGAS, NV
89123-4859

Practice Phone: 702-720-0020
Practice Fax:

1710816681 — VITALRISE BEHAVIORAL HEALTH, PLLC
Practice Location Address:

8215 S EASTERN AVE STE 109
LAS VEGAS, NV
89123-2515

Practice Phone: 725-245-7280
Practice Fax:

1659242212 — CYDNEI HINTON RBT
Practice Location Address:

2075 E WINDMILL LN STE 150
LAS VEGAS, NV
89123-2085

Practice Phone: 702-326-5996
Practice Fax: 702-912-4662

1770413122 — BRIAN PATRICK SECKINGER
Practice Location Address:

8685 S EASTERN AVE
LAS VEGAS, NV
89123-2839

Practice Phone: 702-754-0807
Practice Fax:

1932790292 — SARA FITZGERALD PA-C
Practice Location Address:

8565 S EASTERN AVE
LAS VEGAS, NV
89123-2808

Practice Phone: 952-212-9173
Practice Fax:

1174487110 — LAGO DENTAL PLLC
Practice Location Address:

7435 S EASTERN AVE STE 104
LAS VEGAS, NV
89123-1508

Practice Phone: 702-272-3790
Practice Fax:

Directions to “ADVANCED PRACTICE PSYCHIATRY OF NEVADA LCC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.