Healthcare Provider Details

I. General information

NPI: 1568358786
Provider Name (Legal Business Name): MICHELLE CUEVAS-ROMERO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5516 BOULDER HWY STE 2F-221
LAS VEGAS NV
89122-6000
US

IV. Provider business mailing address

5516 BOULDER HWY STE 2F-221
LAS VEGAS NV
89122-6000
US

V. Phone/Fax

Practice location:
  • Phone: 702-350-1419
  • Fax:
Mailing address:
  • Phone: 702-350-1419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number00000000000
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: