Individual
KATIE BOMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1201 S CARSON ST, CARSON CITY, NV 89701-5225
(775) 445-7330
Mailing address
1201 S CARSON ST, CARSON CITY, NV 89701-5225
(775) 445-7330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN67878
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN002276
NV
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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