Provider Demographics
NPI:1467805119
Name:DEAN, KASEY JAMES (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:KASEY
Middle Name:JAMES
Last Name:DEAN
Suffix:
Gender:M
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 N BUFFALO DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6678
Mailing Address - Country:US
Mailing Address - Phone:702-868-5800
Mailing Address - Fax:702-868-5824
Practice Address - Street 1:3321 N BUFFALO DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6678
Practice Address - Country:US
Practice Address - Phone:702-868-5800
Practice Address - Fax:702-868-5824
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002259363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health