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

Individual provider Family Nurse Practitioner · NPI 1962114843

Khadija Bilali-Azzat, NURSEPRACTITIONER is a Nurse Practitioner in Las Vegas, Nevada. Graduated from University of Nevada, Las Vegas School of Medicine in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Nevada.

Years since qualifying
5
Trained at
University of Nevada, Las Vegas School of Medicine
Licensed in
NV
In the registry since
2022
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Practice location Address checks out

801 S Rancho Dr Ste B2
Las Vegas, NV 89106-3860
Phone: (752) 217-5628
Fax: (702) 331-2035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 861921 (NV)

Record details

NPI number1962114843
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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