Individual
MARY BRIDGET HUNTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6655 W SAHARA AVE STE D104, LAS VEGAS, NV 89146
(725) 205-2457
Mailing address
6655 W SAHARA AVE STE D104, LAS VEGAS, NV 89146-0846
(725) 205-2457
(725) 240-7742
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
815069
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
F09180993
NV
Other
Enumeration date
11/27/2018
Last updated
08/09/2024
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