Leadership
![Michael L. Kiefer, MHA, FACHE, Acting Executive Director
VA Southern Nevada Healthcare System (VASNHS).](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2024-10/Kiefer_Michael_190819-3-print.jpg)
Acting Executive Director
VA Southern Nevada health care
![Jack Smith, Acting Deputy Director, VA Southern Nevada Healthcare System.](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2024-10/Jack_Smith_Acting_DeputyDirector.jpg)
Acting Deputy Director
VA Southern Nevada health care
![Dr. Ramu Komanduri, Chief of Staff at the VA Southern Nevada Health Care System](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2021-04/Dr_Komanduri.jpg)
Chief of Staff
VA Southern Nevada health care
![Dr. Desiree Crawford is the Associate Director Patient Care Services/Nurse Executive (ADPCS/NE).](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2021-09/Dr_Crawford.jpg)
Associate Director Patient Care Services/Nurse Executive
VA Southern Nevada health care
![Melissa A. Palmer, MD, Acting Deputy Chief of Staff.](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2024-01/MelissaPalmer2024_web.jpg)
Deputy Chief of Staff
VA Southern Nevada health care
![Linda Rankin, MSN, MBA, MJ, BS, RN, Deputy Nurse Executive](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2022-06/Linda-Rankin-FP.jpg)
Deputy Nurse Executive
VA Southern Nevada health care
![Acting Assistant Director Jesse Diaz](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2023-01/JesseDiaz01_web.jpg)
Acting Associate Director/Assistant Director
VA Southern Nevada health care
![Antoinette Pretto-Sparkuhl serves as VASNHS’ Executive Quality, Safety and Value Officer.](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2023-06/Antoinette%20Pretto_Sparkuhl.jpg)
Acting Associate Director
VA Southern Nevada health care
![Charles W. “Chuck” Ramey serves as the Communication & Customer Experience Executive for the Department of Veterans Affairs’ Southern Nevada Healthcare System.](https://s3-us-gov-west-1.amazonaws.com/content.www.va.gov/img/styles/2_3_medium_thumbnail/public/2023-06/Chuck_1.jpg)
Communications and Customer Experience Executive
VA Southern Nevada health care
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