MEDICARE: SUSAN LEE NYTES FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	11090-33	WI

General Provider Information

NPI Number	:	1013655091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN LEE NYTES FNP

Provider Business Mailing Address
First Line	:	211 E FLAMINGO RD # 405
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4708
Country	:	US
Telephone Number	:	319-899-9139
Fax Number	:	800-558-6501

Provider Business Practice Location Address
First Line	:	211 E FLAMINGO RD # 405
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4708
Country	:	US
Telephone Number	:	319-899-9139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2022
Last Update Date	:	05/20/2022

Similar Medicare Providers

1467437301 — KRISTI DAWN MOORE PT
Practice Location Address:

826 CALLUNA ST
LAS VEGAS, NV
89138-4708

Practice Phone: 702-480-9249
Practice Fax:

1922303692 — OPTION CARE ENTERPRISES, INC
Practice Location Address:

4708 W SAHARA AVE
LAS VEGAS, NV
89102

Practice Phone: 702-258-0011
Practice Fax: 702-948-0156

1750989836 — OPTION CARE ENTERPRISES, INC.
Practice Location Address:

4708 W SAHARA AVE
LAS VEGAS, NV
89102-3510

Practice Phone: 866-258-3099
Practice Fax:

1629743588 — YANNIAJEYA BLACKSHER
Practice Location Address:

4708 WOODLAND AVE
LAS VEGAS, NV
89121-7134

Practice Phone: 702-759-3377
Practice Fax:

1134858293 — HERBERT JOHN SLAVIN JR.
Practice Location Address:

1624 PALM ST UNIT 53
LAS VEGAS, NV
89104-4708

Practice Phone: 702-569-4521
Practice Fax:

1356110654 — SPEAK FROM THE HEART LLC
Practice Location Address:

924 CAREY GROVE AVE
NORTH LAS VEGAS, NV
89030-4708

Practice Phone: 702-885-8642
Practice Fax:

Directions to “ SUSAN LEE NYTES FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.