NPI 1558739110 · live from the CMS NPI Registry
Mailo K. Brantner, NP-C
Nurse Practitioner, Family in Henderson, NV. National Provider Identifier 1558739110, active.
NPI record
| NPI | 1558739110 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2298 W Horizon Ridge Pkwy Ste 209, Henderson, NV 89052 |
| Practice phone | 702-660-4050 |
| Enumerated | September 11, 2015 |
| Last updated | December 8, 2025 |
| Sole proprietor | No |
| Other names | Mailo Yang |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | CNP10459 (MN) |
| Internal Medicine, Gastroenterology | 207RG0100X | APRN002004 (NV) |
| Nurse Practitioner, Family primary | 363LF0000X | APRN002004 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.