Joanne L Wennstrom, APRN-CPNP-PC
Nurse Practitioner, Pediatrics in Las Vegas, NV. Individual provider (NPI-1).
NPI number1235645003
StatusActive
Last updated in NPPESDec 31, 2025
Details
- NPI
- 1235645003
- Entity type
- Individual (NPI-1)
- Name
- Joanne L Wennstrom
- Credential
- APRN-CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2017
- Certification date
- Dec 31, 2025
- Last updated
- Dec 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | APRN-CNP882242 | NV | Yes |
| 208000000X | Pediatrics | F382758-1 | NY |
Practice location
3201 S Maryland Pkwy Ste 608Las Vegas, NV 89109-2428
Phone 702-457-5437 · Fax 702-464-5801
Mailing address
Po Box 845498Los Angeles, CA 90084-2611
Phone 702-457-5437 · Fax 702-464-5801
Other practice locations
880 Seven Hills Dr Ste 100
Henderson, NV 89052-4372
Henderson, NV 89052-4372
Phone 702-457-5437 · Fax 702-464-5801
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