MEDICARE: KASSIE MARIE CARTRIGHT 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	363L00000X	Nurse Practitioner	885006	NV

General Provider Information

NPI Number	:	1184422081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASSIE MARIE CARTRIGHT APRN

Provider Business Mailing Address
First Line	:	7225 PLACID ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4223
Country	:	US
Telephone Number	:	928-706-7848
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 WIGWAM PKWY STE 111
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7113
Country	:	US
Telephone Number	:	702-703-1202
Fax Number	:

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

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	04/09/2025

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Directions to “ KASSIE MARIE CARTRIGHT APRN” Practice Location

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