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

Good Samaritan Family Practice

Organization Family Nurse Practitioner · NPI 1366802159

Good Samaritan Family Practice is a Family Nurse Practitioner in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2016.

Licensed in
NV
In the registry since
2016

Practice location Address checks out

4220 Saxton Green Ave
Las Vegas, NV 89141
Phone: (702) 400-0517
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 APRN002072 (NV)

Record details

NPI number1366802159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Kidiavayi — Nurse Practictioner · (702) 400-0517
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 7, 2016
Mailing address4220 Saxton Green Ave, Las Vegas, NV 89141-4354

Other providers in Las Vegas