Individual
KEELY BROOKE RATAJCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, FNP-C
Contact information
Practice address
12300 LAS VEGAS BLVD S, HENDERSON, NV 89044-9506
(702) 837-1265
Mailing address
404 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108-3586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
876653
NV
Other
Enumeration date
03/18/2024
Last updated
05/21/2025
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