Raven Ennis
Nurse Practitioner | 13+ years Exp
4270 S Decatur Blvd Ste B6, Las Vegas
Nevada, 89103-6802
702-485-2100
Raven Ennis is a Las Vegas, Nevada based nurse practitioner with 13 years of experience in Nurse Practitioner. She completed her graduation from University Of Nevada School Of Medicine in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Raven Ennis is APRN002372 for Psych/Mental Health in Nevada. Her current practice location is 4270 S Decatur Blvd Ste B6, Las Vegas. Patients can reach her at 702-485-2100 or can fax her at 702-825-0091 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1407278757.
Raven Ennis has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Raven Ennis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Raven Ennis |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 13+ years |
| Medical School Attended: | University Of Nevada School Of Medicine |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4270 S Decatur Blvd Ste B6, Las Vegas,
Nevada, 89103-6802 |
| Phone: | 702-485-2100 |
| Fax: | 702-825-0091 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6507146651 |
| Enrollment ID: | I20161206001905 |
| NPI Number: | 1407278757 |
| NPI Enumeration Date: | 06 Jan, 2014 |
| NPI Last Update On: | 22 Mar, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raven Ennis are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN002372 | Psych/Mental Health | Nevada | Primary | |
| RN73437 | Registered Nurse | Nevada | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Raven Ennis is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Medtrans (9739437815) | 29 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Raven Ennis
4270 S Decatur Blvd Ste B6,
Las Vegas, Nevada |
| Zip: | 89103-6802 |
| Phone Number: | 702-485-2100 |
| Fax Number: | 702-825-0091 |
Patients can reach Raven Ennis at
4270 S Decatur Blvd Ste B6, Las Vegas, Nevada or can
call to book an appointment on 702-485-2100.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.