Healthcare Provider Details

I. General information

NPI: 1427896612
Provider Name (Legal Business Name): LANDON EARL STEELE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7135 W SAHARA AVE STE 100
LAS VEGAS NV
89117-2828
US

IV. Provider business mailing address

7135 W SAHARA AVE STE 100
LAS VEGAS NV
89117-2828
US

V. Phone/Fax

Practice location:
  • Phone: 702-222-9355
  • Fax:
Mailing address:
  • Phone: 702-222-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number838444
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: