Individual
KRISTINE MUKUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3758 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4132
(401) 585-8069
Mailing address
3758 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4132
(401) 585-8069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN832256
NV
Other
Enumeration date
08/22/2020
Last updated
10/27/2021
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