MEDICARE: KASEY JAMES DEAN DNP, 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN002259	NV

General Provider Information

NPI Number	:	1467805119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY JAMES DEAN DNP, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	7455 ARROYO CROSSING PKWY STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4088
Country	:	US
Telephone Number	:	702-802-1751
Fax Number	:	833-427-1423

Provider Business Practice Location Address
First Line	:	4045 SPENCER ST STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5246
Country	:	US
Telephone Number	:	702-780-6200
Fax Number	:	888-433-5792

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

Provider Enumeration Date	:	07/18/2016
Last Update Date	:	06/08/2026

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