Andrea Soetanto

NPI 1881520419 · on the registry since 2026

Practice

Address: 2880 N Tenaya Way Ste 420
Las Vegas, NV 89128
Phone: (702) 255-2022
Fax: (702) 255-8810
Organisation at this address: Luis Leon Diaz Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 172

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-06-22
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada