Individual
KIMBERLY JAYNE CZERWONKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7104 OVERHILL AVE, LAS VEGAS, NV 89129-7103
(702) 971-1548
Mailing address
7104 OVERHILL AVE, LAS VEGAS, NV 89129-7103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
859998
NV
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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