MEDICARE: JUSTINE RYKHUS APRN

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	363LF0000X	Family Nurse Practitioner	833814	NV

General Provider Information

NPI Number	:	1154213551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINE RYKHUS APRN

Provider Business Mailing Address
First Line	:	4418 SOLITUDE FALLS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-4731
Country	:	US
Telephone Number	:	619-550-8866
Fax Number	:	619-550-8866

Provider Business Practice Location Address
First Line	:	7345 S DURANGO DR
Second Line	:	STE 111
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3608
Country	:	US
Telephone Number	:	702-463-1400
Fax Number	:

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

Provider Enumeration Date	:	07/18/2025
Last Update Date	:	07/23/2025

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