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

Heather Poulos, PA-C

Individual provider Physician Assistant · NPI 1144889502

Heather Poulos, PA-C is a Physician Assistant in North las Vegas, Nevada. Qualified in 2019, 7 years ago. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2225 Civic Center Dr Ste 224
North las Vegas, NV 89030-6332
Phone: (702) 214-5948
Fax: (702) 214-9439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2161 (NV)

Record details

NPI number1144889502
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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