Individual
LISA KATHLEEN HAMMARGREN-KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10381 DOUBLE R BLVD, RENO, NV 89521-5991
(775) 348-8800
(833) 687-1419
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(833) 687-1419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN42746
NV
363LF0000X
Family Nurse Practitioner
Primary
APN001297
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12409177
CAQH
—
05
—
1598051211
—
NV
Enumeration date
06/21/2011
Last updated
07/20/2023
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