Healthcare Provider Details

I. General information

NPI: 1477418002
Provider Name (Legal Business Name): NURTURING CARE OF LAS VEGAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 SPENCER ST STE 205
LAS VEGAS NV
89119-3914
US

IV. Provider business mailing address

6565 SPENCER ST STE 205
LAS VEGAS NV
89119-3914
US

V. Phone/Fax

Practice location:
  • Phone: 702-235-5856
  • Fax:
Mailing address:
  • Phone: 619-549-0689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA VILLAHERMOSA
Title or Position: APRN
Credential:
Phone: 702-235-5856