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Individual

AMY L. J. KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1302 W CRAIG RD STE A, N LAS VEGAS, NV 89032-0247
(702) 473-8380
(702) 473-8383
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
857158
NV
363LP2300X
Primary Care Nurse Practitioner
857158
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083322267
NV
01
857158
STATE LICENSE
NV
Enumeration date
11/07/2022
Last updated
01/09/2023
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