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

Krizelle Quiambao Mallanta

Individual provider Family Nurse Practitioner · NPI 1720818438

Krizelle Quiambao Mallanta is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

808 Pittston Ave
Las Vegas, NV 89123-6725
Phone: (702) 773-2017
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 881287 (NV)

Record details

NPI number1720818438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Las Vegas