Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MULLISSA MICHELLE CHILDRESS, APRN
DeactivatedPrimary Care Nurse Practitioner · LAS VEGAS, NV
This NPI has been deactivated.
The record was deactivated on May 26, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104827492
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (0.79452054794521 yrs)
- Last Updated
- Aug 21, 2024
- Deactivated
- May 26, 2006
- Licenses
-
F0714788 (OH)16446-NP (OH)APRN002193 (NV)
Practice Information
- Address
-
222 S RAINBOW BLVD STE 115LAS VEGAS, NV, 891455343Browse NV providers · Browse ZIP 89145
- Phone
- 7024064125
- Fax
- 7027450452
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| BLANCHE LENORA BRAGG | FNP | 1851361943 |
| MS. JENNIFER L. CRIBB | NURSE PRACTITIONER | 1093047086 |
| NERISSA C CUNANAN DIMAILIG | APRN | 1629390786 |
| MR. MARIO OLIVER TABLANTE GODOY | APRN NP-C | 1275822611 |
| MR. JAY JAY MAGTOTO JOSEPH | APN | 1336429745 |
| MARILOU ABELLANA MENDOZA | NP | 1528307659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.