Healthcare Provider Details

I. General information

NPI: 1205778404
Provider Name (Legal Business Name): ERIN WEBSTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 S WYNN RD
LAS VEGAS NV
89103
US

IV. Provider business mailing address

6355 S BUFFALO DR FL 3
LAS VEGAS NV
89113-2133
US

V. Phone/Fax

Practice location:
  • Phone: 702-871-5005
  • Fax: 702-871-1349
Mailing address:
  • Phone: 702-216-3346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number899650
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: