Individual
KATHLEEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
APRN001958
NV
363LF0000X
Family Nurse Practitioner
AP30005711
WA
363LF0000X
Family Nurse Practitioner
Primary
APRN001958
NV
363LF0000X
Family Nurse Practitioner
RN84112
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144312349
—
NV
Enumeration date
09/28/2006
Last updated
11/03/2020
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