Healthcare Provider Details

I. General information

NPI: 1306771944
Provider Name (Legal Business Name): GELLIE ZELLE RAMONES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 W CHARLESTON BLVD STE 170
LAS VEGAS NV
89102-1682
US

IV. Provider business mailing address

3900 W CHARLESTON BLVD STE 170
LAS VEGAS NV
89102-1682
US

V. Phone/Fax

Practice location:
  • Phone: 702-362-2273
  • Fax:
Mailing address:
  • Phone: 702-362-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number862403
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: