Healthcare Provider Details

I. General information

NPI: 1639958499
Provider Name (Legal Business Name): ASHLEY KAYE REYES MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 PINTO LN FL 3
LAS VEGAS NV
89106-4195
US

IV. Provider business mailing address

3016 W CHARLESTON BLVD STE 100
LAS VEGAS NV
89102-1973
US

V. Phone/Fax

Practice location:
  • Phone: 702-944-2828
  • Fax: 702-944-2852
Mailing address:
  • Phone: 702-780-2315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number868154
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: