Provider Demographics
NPI:1750994323
Name:AMERI, GINA (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:
Last Name:AMERI
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12717 COASTLINE SHADOW ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-3317
Mailing Address - Country:US
Mailing Address - Phone:702-900-2268
Mailing Address - Fax:725-527-1848
Practice Address - Street 1:1980 FESTIVAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-2927
Practice Address - Country:US
Practice Address - Phone:323-205-7088
Practice Address - Fax:725-527-1848
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014769363LP0808X
NV843565363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health