Individual
BREANNA KENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5000
Mailing address
1146 BLITZEN DR, HENDERSON, NV 89012-4472
(702) 465-4348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
867031
NV
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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