Individual
THERESA H MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNC RNC
Contact information
Practice address
5410 W SAHARA AVE, LAS VEGAS, NV 89146-3307
(702) 362-2500
(702) 876-6581
Mailing address
5410 W SAHARA AVE, LAS VEGAS, NV 89146-3307
(702) 362-2500
(702) 876-6581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN00178
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002412035
—
NV
01
—
100502836
MEDICAID 31NUMBER
—
05
—
1437147600
—
NV
Enumeration date
10/11/2005
Last updated
04/23/2012
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