DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL TODD MATHISEN, APRN, PMHNP-BC

Active Sole Proprietor

MR. MICHAEL TODD MATHISEN, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LAS VEGAS, Nevada. NPI 1114487881 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · LAS VEGAS, NV

Registration Details

NPI Number
1114487881
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2019 (7.3766912390843 yrs)
Last Updated
Mar 20, 2019
License
818912 (NV)
Sole Proprietor
Yes

Practice Information

Address
4270 S DECATUR BLVD STE B6
LAS VEGAS, NV, 891036802
Browse NV providers · Browse ZIP 89103
Phone
7024852100
Fax
7029022466

Other Psychiatric/Mental Health Nurse Practitioner Providers in LAS VEGAS, NV

Name Credential NPI
DR. JOSHUA M HAMILTON RN, FNP-C, PMHNP-BC 1972507424
ALOYCHA LI DE LA ROCHE APRN,BC 1568469773
MRS. MELANIE BAINBRIDGE APRN 1588633721
UGOEZI BRIDGET AGU 1467406868
MS. JOYCE ANN LANDERS A.P.N 1801824776
ANGELA ALESI 1760411318
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.