Healthcare Provider Details

I. General information

NPI: 1932918232
Provider Name (Legal Business Name): AMBER LA SHELLE WELBY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER LA SHELLE WELBY RN

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10624 S EASTERN AVE STE H
HENDERSON NV
89052-2983
US

IV. Provider business mailing address

1157 PALMETTO BAY DR
HENDERSON NV
89012-5013
US

V. Phone/Fax

Practice location:
  • Phone: 702-850-0977
  • Fax:
Mailing address:
  • Phone: 702-499-0480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number837134
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: