Provider Demographics
NPI:1770208381
Name:ANNA MARIE GRACE RAMOS KASTNER PMHNP PLLC
Entity type:Organization
Organization Name:ANNA MARIE GRACE RAMOS KASTNER PMHNP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA MARIE GRACE
Authorized Official - Middle Name:RAMOS
Authorized Official - Last Name:KASTNER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:702-664-4189
Mailing Address - Street 1:5524 S FORT APACHE RD
Mailing Address - Street 2:BUILDING C-4 SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-8872
Mailing Address - Country:US
Mailing Address - Phone:702-664-9614
Mailing Address - Fax:833-464-4237
Practice Address - Street 1:5524 S. FORT APACHE RD
Practice Address - Street 2:BUILDING C-4 SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-8872
Practice Address - Country:US
Practice Address - Phone:702-664-9614
Practice Address - Fax:833-464-4237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty