Healthcare Provider Details

I. General information

NPI: 1891001616
Provider Name (Legal Business Name): NIKKI CUASAY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 N TOWN CENTER DR FL 5
LAS VEGAS NV
89144-6367
US

IV. Provider business mailing address

2777 PARADISE RD UNIT 2405
LAS VEGAS NV
89109-9116
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-7435
  • Fax: 702-853-8505
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number001188
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: