Individual
MRS. KRYSTAL RAYE DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
910 VISTA BLVD, SPARKS, NV 89434
(775) 982-5000
(775) 982-4585
Mailing address
1082 GOLDEN PLOVER CT, SPARKS, NV 89441-7866
(775) 762-8140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
810251
NV
Other
Enumeration date
07/09/2018
Last updated
08/07/2018
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