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HOME PROFESSIONAL NURSE PRACTITIONER LLC
NPI 1669944484
Nurse Practitioner - Primary Care in Las Vegas, NV

Active since December 18, 2018
3017 W CHARLESTON BLVD STE 70, LAS VEGAS, NV 89102(702) 913-9380 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Home Professional Nurse Practitioner Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOME PROFESSIONAL NURSE PRACTITIONER LLC (NPI 1669944484) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since December 2018. The organization lists Mae Derequito Lueck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669944484
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHOME PROFESSIONAL NURSE PRACTITIONER LLC
Location Address3017 W CHARLESTON BLVD STE 70Las Vegas, NV 89102-1928
Mailing Address3017 W Charleston Blvd Ste 70Las Vegas, NV 89102-1928 · (702) 913-9380
Phone(702) 913-9380
Organization SubpartNo
Authorized OfficialMae Derequito LueckCeo · (702) 913-9380
Enumeration DateDecember 18, 2018
✔ NPI 1669944484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3017 W CHARLESTON BLVD STE 70, Las Vegas, NV 89102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT COMMUNITY SERVICES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 823-3910
HALEY E MORSE NP-C
Nurse Practitioner (Family)
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 913-9380
DR. ROBERT LYNN HORNE MD
Psychiatry & Neurology (Psychiatry)
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 822-1188
KARINA LARSEN
Counselor (Professional)
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 823-3910
TABITHA CASTILLO MA
Rehabilitation Practitioner
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 823-3910
FIELD MEDICAL GROUP LLC
Nurse Practitioner (Primary Care)
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 957-8337
ASIA MARIE STOFER-SMITH
Rehabilitation Practitioner
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 823-3910
THEONNA ELLISON
Rehabilitation Practitioner
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102
Clark County (702) 823-3910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Home Professional Nurse Practitioner LLC's NPI number?

The NPI number for Home Professional Nurse Practitioner LLC is 1669944484. It was assigned to this organization in the NPPES registry on December 18, 2018.

Where is Home Professional Nurse Practitioner LLC located?

Home Professional Nurse Practitioner LLC is located at 3017 W Charleston Blvd Ste 70, Las Vegas, NV 89102. The listed phone number is (702) 913-9380.

What is Home Professional Nurse Practitioner LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Home Professional Nurse Practitioner LLC was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.