Dustin Bradford Von Holten, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Las Vegas Nv 89118, Nevada. Dustin Bradford Von Holten is licensed to practice in Nevada (license number 871465) and his current practice location is
5940 S. Rainbow Blvd, Las Vegas Nv 89118, Nevada. He can be reached at his office (for appointments etc.) via phone at
(347) 573-9479.
NPI number for Dustin Bradford Von Holten is 1841720521 and his current mailing address is 5940 S Rainbow Blvd, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841720521.
Provider's Profile
| Full Name | Dustin Bradford Von Holten |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 5940 S. Rainbow Blvd, Las Vegas Nv 89118, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841720521
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 03/16/2025
Medical Identifiers
Medical identifiers for Dustin Bradford Von Holten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841720521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 871465 (Nevada) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN61447966 (Washington) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 717042 (New York) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 213913 (Alaska) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95345342 (California) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 26NR22994400 (New Jersey) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 13591362-3102 (Utah) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402408 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 213914 (Alaska) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95027838 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61467436 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01214100 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13591362-4405 (Utah) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP231481 (Maine) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 871465 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin Bradford Von Holten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dustin Bradford Von Holten, PMHNP
5940 S Rainbow Blvd,
Las Vegas, NV 89118-2506
Ph: (347) 573-9479 | Dustin Bradford Von Holten, PMHNP
5940 S. Rainbow Blvd,
Las Vegas Nv 89118, NV 89118-2506
Ph: (347) 573-9479 |
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