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

Andrea Kay Soetanto

Individual provider Registered Nurse · NPI 1881520419

Andrea Kay Soetanto is a Registered Nurse in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2026.

Licensed in
NV
In the registry since
2026

Practice location Address checks out

2880 N Tenaya Way Ste 420
Las Vegas, NV 89128-0642
Phone: (702) 255-2022
Fax: (702) 255-8810
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 820745 (NV)

Record details

NPI number1881520419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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