MEDICARE: MS. GINA AMERI 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	95014769	CA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	843565	NV

General Provider Information

NPI Number	:	1750994323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GINA AMERI PMHNP-BC

Provider Business Mailing Address
First Line	:	12717 COASTLINE SHADOW ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3317
Country	:	US
Telephone Number	:	702-900-2268
Fax Number	:	725-527-1848

Provider Business Practice Location Address
First Line	:	1980 FESTIVAL PLAZA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2927
Country	:	US
Telephone Number	:	323-205-7088
Fax Number	:	725-527-1848

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

Provider Enumeration Date	:	08/24/2020
Last Update Date	:	06/16/2025

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