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DUSTY MAHEALANI WILLIS LPN
NPI 1780322644
Licensed Practical Nurse in Boulder City, NV

Active since May 21, 2022
100 VETERANS MEMORIAL DR, BOULDER CITY, NV 89005(702) 332-6784 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dusty Mahealani Willis Lpn NPPES

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

DUSTY MAHEALANI WILLIS LPN (NPI 1780322644) is an individual licensed practical nurse in Boulder City, Nevada, licensed in Nevada (835700) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1780322644
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDUSTY MAHEALANI WILLISCredential: LPN
Location Address100 VETERANS MEMORIAL DRBoulder City, NV 89005-1926
Mailing Address177 Vitale AveHenderson, NV 89002-9208 · (808) 387-4705
Phone(702) 332-6784
Sole ProprietorNo
Enumeration DateMay 21, 2022
NPPES CertifiedMay 21, 2022
✔ NPI 1780322644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NV · 835700
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
100 VETERANS MEMORIAL DR, Boulder City, NV 89005
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Other Identifiers 1

OtherLPN-10376HI · Hawaii Board Of Nursing - Pvl

Other Providers at the Same Location NPPES 14

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

AUDREY JEANNE CONWAY
Speech-Language Pathologist
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (702) 332-6784
MUNTASIR CHOUDHURY OTR/L
Occupational Therapist
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (702) 332-6864
ANDRE MURRELL PTA
Physical Therapy Assistant
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (708) 954-6686
HAILEE DUMOND COTA
Occupational Therapy Assistant
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (702) 332-6784
CARISSA DELEEUW CCC-SLP
Speech-Language Pathologist
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (888) 531-2204
RONALD SCHEIFFELE
Occupational Therapy Assistant
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (702) 332-6784
DANTE BARNWELL PTA
Physical Therapy Assistant
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (888) 531-2201
MRS. SHANNON GOLDSTON COTA/L
Occupational Therapy Assistant
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Clark County (702) 332-6784

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 Dusty Willis's NPI number?

The NPI number for Dusty Willis is 1780322644. It was assigned to this individual provider in the NPPES registry on May 21, 2022.

Where is Dusty Willis located?

Dusty Willis practices at 100 Veterans Memorial Dr, Boulder City, NV 89005. The listed phone number is (702) 332-6784.

What is Dusty Willis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dusty Willis was last updated on May 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.