Individual
KITZY LILLIE WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89102-2352
(702) 650-2500
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 650-2500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0027756
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
840994
NV
363LP0222X
Critical Care Pediatric Nurse Practitioner
APRN.CNP.0027756
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
SP025082
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481203
—
OH
Enumeration date
12/28/2021
Last updated
06/19/2023
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