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Dusty Mahealani Willis, LPN
Licensed Practical Nurse in Boulder City, Nevada
NPI 1780322644

Dusty Mahealani Willis is a Licensed Practical Nurse based in Henderson, NV. Dusty Mahealani Willis practices in Boulder City, NV and has the professional credentials of LPN. The NPI Number for Dusty Mahealani Willis is 1780322644 and holds a License No. 835700 (Nevada).

The current practice location address for Dusty Mahealani Willis is 100 Veterans Memorial Dr, Boulder City, NV and can be reached out via phone at 702-332-6784.

Location: 100 Veterans Memorial Dr, Boulder City, NV, 89002-9208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780322644
Provider Name
Dusty Mahealani Willis
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
100 Veterans Memorial Dr, Boulder City, NV, 89002-9208
Phone Number
702-332-6784
Fax Number
Provider Enumeration Date
05/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPN-10376 01 HI HAWAII BOARD OF NURSING - PVL
institution
Provider Business Practice Location Address Details
Address
100 Veterans Memorial Dr
City
Boulder City
State
Nevada
Zip
89005-1926
Phone Number
702-332-6784
Fax Number
person
Provider Business Mailing Address Details
Address
100 Veterans Memorial Dr
City
Boulder City
State
Nevada
Zip
89005-1926
Phone Number
702-332-6784
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
835700 (Nevada)
Definition
An individual 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.
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