Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Mt LLC

Organization Family Nurse Practitioner · NPI 1184147712

Innovative Mt LLC provides Family Nurse Practitioner services in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2017.

Licensed in
NV
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7395 Desertscape Ave
Las Vegas, NV 89178-8800
Phone: (702) 706-2804
Fax: (512) 590-7104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN002484 (NV)

Record details

NPI number1184147712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Tam — Practice Manager · (702) 706-2804
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 21, 2022
Mailing address7395 Desertscape Ave, Las Vegas, NV 89178-8800

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