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

Tara Nickell

Individual provider Family Medicine Physician · NPI 1083302053

Tara Nickell is a Family Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2023.

Licensed in
NV
In the registry since
2023

Practice location Address checks out

650 N Nellis Blvd
Las Vegas, NV 89110-5382
Phone: (702) 790-8000
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 866775 (NV)

Record details

NPI number1083302053
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 5, 2023

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