Individual
PATRICIA KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8661
(702) 259-1233
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 560-2915
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000430
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306862289
—
NV
05
—
304506400
—
FL
Enumeration date
07/14/2006
Last updated
06/17/2014
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