Individual
KRISTI VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 878-0070
Mailing address
10939 N ALPINE HWY, PMB 124, HIGHLAND, UT 84003-8880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5625929-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA000448
NV
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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