Individual
PATRICIA K IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8565 S EASTERN AVE STE 192, LAS VEGAS, NV 89123-2907
(725) 232-1366
(702) 478-2475
Mailing address
8565 S EASTERN AVE STE 192, LAS VEGAS, NV 89123-2907
(725) 232-1366
(702) 478-2475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
836208
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
836208
NV
Other
Enumeration date
12/25/2020
Last updated
01/19/2026
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