Individual
JAN M KLEINSASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3550
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN19875
NV
367500000X
Certified Registered Nurse Anesthetist
94286
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000063
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811948011
—
NV
Enumeration date
05/12/2006
Last updated
08/08/2023
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