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

Raven Ennis

Individual provider Registered Nurse · NPI 1407278757

Raven Ennis is a Registered Nurse in Las Vegas, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Phone: (702) 485-2100
Fax: (702) 825-0091
Show map & directions

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

Additional practice locations (1)

  • 330 S Valley View Blvd, Las Vegas, NV 89107-4361 — (702) 759-0882

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN002372 (NV)
Registered Nurse Taxonomy 163W00000X · Licence RN73437 (NV)

Record details

NPI number1407278757
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2014
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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