Healthcare Provider Details

I. General information

NPI: 1770208381
Provider Name (Legal Business Name): ANNA MARIE GRACE RAMOS KASTNER PMHNP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10161 PARK RUN DR STE 150
LAS VEGAS NV
89145-8872
US

IV. Provider business mailing address

10409 PACIFIC PALISADES AVE
LAS VEGAS NV
89144-1221
US

V. Phone/Fax

Practice location:
  • Phone: 702-899-2793
  • Fax: 702-935-8950
Mailing address:
  • Phone: 702-899-2793
  • Fax: 702-935-8950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANNA MARIE GRACE RAMOS-KASTNER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 702-899-2793