Healthcare Provider Details

I. General information

NPI: 1841093721
Provider Name (Legal Business Name): KRISTEN LUCIANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W SAHARA AVE STE 800
LAS VEGAS NV
89102-4397
US

IV. Provider business mailing address

4132 LANDRIANO AVE
N LAS VEGAS NV
89084-4937
US

V. Phone/Fax

Practice location:
  • Phone: 725-525-1982
  • Fax:
Mailing address:
  • Phone: 702-241-5047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN73329
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: