Individual
NICOLE KILLPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1341 WATERCREEK DR, NORTH LAS VEGAS, NV 89032-3188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN12530
NV
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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