Healthcare Provider Details

I. General information

NPI: 1639084866
Provider Name (Legal Business Name): KIRSTEN PHAM FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRSTEN SORIANO

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8485 W SUNSET RD STE 200
LAS VEGAS NV
89113-2253
US

IV. Provider business mailing address

7686 FRENCHMANS BAY AVE
LAS VEGAS NV
89179-1449
US

V. Phone/Fax

Practice location:
  • Phone: 725-210-8498
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number837366
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: