Dusty Mahealani Willis, LPN - Licensed Practical Nurse in Boulder City, NV

Dusty Mahealani Willis, LPN is a Licensed Practical Nurse based in Boulder City, Nevada. Dusty Mahealani Willis is licensed to practice in Nevada (license number 835700) and her current practice location is 100 Veterans Memorial Dr, Boulder City, Nevada. She can be reached at her office (for appointments etc.) via phone at (702) 332-6784.

NPI number for Dusty Mahealani Willis is 1780322644 and her current mailing address is 177 Vitale Ave, Henderson, Nevada. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780322644.

Contact Information

Dusty Mahealani Willis, LPN
100 Veterans Memorial Dr,
Boulder City, NV 89005-1926
(702) 332-6784
Not Available



Provider's Profile

Full NameDusty Mahealani Willis
GenderFemale
SpecialityLicensed Practical Nurse
Location100 Veterans Memorial Dr, Boulder City, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780322644
  • Provider Enumeration Date: 05/21/2022
  • Last Update Date: 05/21/2022

Medical Identifiers

Medical identifiers for Dusty Mahealani Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780322644NPI-NPPES
LPN-10376OtherHIHAWAII BOARD OF NURSING - PVL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 835700 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dusty Mahealani Willis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dusty Mahealani Willis, LPN
177 Vitale Ave,
Henderson, NV 89002-9208

Ph: (808) 387-4705
Dusty Mahealani Willis, LPN
100 Veterans Memorial Dr,
Boulder City, NV 89005-1926

Ph: (702) 332-6784

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Boulder City, NV

Kody Carder, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 100 Veterans Memorial Dr, Boulder City, NV 89005
Phone: 702-332-6864    
Galina Marine, FNP-C
Licensed Practical Nurse
Medicare: Medicare Enrolled
Practice Location: 895 Adams Blvd, Boulder City, NV 89005
Phone: 702-293-0406    Fax: 702-293-0192

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