Individual
KELLI NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7730 W CHEYENNE AVE STE 107, LAS VEGAS, NV 89129-8412
(725) 333-9218
(833) 485-4980
Mailing address
7730 W CHEYENNE AVE STE 107, LAS VEGAS, NV 89129-8412
(833) 485-4980
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
867835
NV
Other
Enumeration date
05/22/2023
Last updated
03/15/2026
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