Provider Demographics
NPI:1154213551
Name:RYKHUS, JUSTINE (APRN)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:
Last Name:RYKHUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 SOLITUDE FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-4731
Mailing Address - Country:US
Mailing Address - Phone:619-550-8866
Mailing Address - Fax:619-550-8866
Practice Address - Street 1:7345 S DURANGO DR
Practice Address - Street 2:STE 111
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3608
Practice Address - Country:US
Practice Address - Phone:702-463-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV833814363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily