MEDICARE: KURT RICARDO APRN, PMHNP-BC

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	163W00000X	Registered Nurse	RN73820	NV
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	846594	NV

General Provider Information

NPI Number	:	1336719764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT RICARDO APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	6415 S FORT APACHE RD STE 1851096
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6744
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415 S FORT APACHE RD STE 1851096
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6744
Country	:	US
Telephone Number	:	702-721-8131
Fax Number	:

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

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	11/01/2021

Similar Medicare Providers

1336410075 — LESHAY D DANIELS LMFT
Practice Location Address:

6415 S FORT APACHE RD STE 185-1044
LAS VEGAS, NV
89148-6744

Practice Phone: 860-577-0057
Practice Fax:

1578912861 — LIFECARE MEDICAL SUPPLIES WEST INC
Practice Location Address:

6415 S FORT APACHE RD , STE#175
LAS VEGAS, NV
89148-6744

Practice Phone: 702-722-2126
Practice Fax:

1063078830 — DR. PATRICK EDWARD JANIK DO
Practice Location Address:

6415 S FORT APACHE RD STE 1851004
LAS VEGAS, NV
89148-6744

Practice Phone: 702-530-7069
Practice Fax:

1689251183 — JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES
Practice Location Address:

6415 S FORT APACHE RD STE 185-3056
LAS VEGAS, NV
89148-6744

Practice Phone: 901-283-1975
Practice Fax:

1952137184 — JAMEELAH WILKERSON
Practice Location Address:

6415 S FORT APACHE RD # 1885-20
LAS VEGAS, NV
89148-6744

Practice Phone: 678-477-3168
Practice Fax:

1033928262 — MAVERICK PSYCHIATRY
Practice Location Address:

6415 S FORT APACHE RD STE 1851004
LAS VEGAS, NV
89148-6744

Practice Phone: 702-530-7069
Practice Fax:

Directions to “ KURT RICARDO APRN, PMHNP-BC” 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 © 2007-2025 (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.