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 is a Family Nurse Practitioner 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.

See every abbreviation used in this directory →

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

Other providers in Las Vegas