Healthcare Provider Details

I. General information

NPI: 1023804069
Provider Name (Legal Business Name): NATALIE LUTHER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 LITTLE RAVEN ST
HENDERSON NV
89002-0401
US

IV. Provider business mailing address

909 LITTLE RAVEN ST
HENDERSON NV
89002-0401
US

V. Phone/Fax

Practice location:
  • Phone: 702-416-6660
  • Fax:
Mailing address:
  • Phone: 702-416-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number888725
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: