Individual
KAYLE RAYNE HADERLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 N DURANGO DR, LAS VEGAS, NV 89149-4409
(702) 835-9700
Mailing address
1100 TURTLE CREEK DR APT 214, NAPLES, FL 34110-2200
(702) 606-3224
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
835624
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
835624
NV
Other
Enumeration date
12/10/2020
Last updated
01/07/2021
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