Individual
MRS. KELLIE LEANNE VIVION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5000
Mailing address
102 E LAKE MEAD PKWY, HENDERSON, NV 89015-5575
(702) 616-5604
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN50421
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
898567
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN50420
LISCENSE NUMBEE
NV
Enumeration date
04/09/2021
Last updated
02/14/2026
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