MEDICARE: ALISSA CLARK 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10098968-8900	UT

General Provider Information

NPI Number	:	1548712433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA CLARK APRN

Provider Business Mailing Address
First Line	:	6910 S CIMARRON RD STE 240
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2281
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6910 S CIMARRON RD STE 240
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2281
Country	:	US
Telephone Number	:	812-679-7208
Fax Number	:

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

Provider Enumeration Date	:	10/26/2016
Last Update Date	:	12/18/2025

Similar Medicare Providers

1053071662 — MARYANN MAJING HOU
Practice Location Address:

5980 S DURANGO DR
LAS VEGAS, NV
89113-1779

Practice Phone: 888-505-1637
Practice Fax:

1225993462 — SAMIRA JAMILA PERRY
Practice Location Address:

7160 RAFAEL RIVERA WAY STE 110
LAS VEGAS, NV
89113-5394

Practice Phone: 702-850-2691
Practice Fax:

1366130825 — SAMIA SHERRY MOUAKI-BENANI
Practice Location Address:

6655 S CIMARRON RD STE 100
LAS VEGAS, NV
89113-2181

Practice Phone: 702-853-3561
Practice Fax:

1992660062 — YURIMA ZALDIVAR REGISTERED BEHAVIOR
Practice Location Address:

9130 EAGLE FORD ST
LAS VEGAS, NV
89113-6193

Practice Phone: 725-254-8037
Practice Fax:

1073478152 — WOUND COMFORT, LLC
Practice Location Address:

8556 MONUMENT LAKE CT
LAS VEGAS, NV
89113-6170

Practice Phone: 702-301-5146
Practice Fax:

1174238802 — SULUDAN DILIFUZAI
Practice Location Address:

7895 W SUNSET RD STE 114
LAS VEGAS, NV
89113-2275

Practice Phone: 866-727-8274
Practice Fax:

Directions to “ ALISSA CLARK APRN” 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.