Healthcare Provider Details

I. General information

NPI: 1225956873
Provider Name (Legal Business Name): BRANDI SPLINTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 BLUE DIAMOND RD STE 103
LAS VEGAS NV
89139-7785
US

IV. Provider business mailing address

1856 DESERT FOREST WAY
HENDERSON NV
89012-3297
US

V. Phone/Fax

Practice location:
  • Phone: 702-407-0524
  • Fax:
Mailing address:
  • Phone: 702-525-3794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number827749
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: