Individual
MS. KIMBERLY ANNE MOULLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3835 S JONES BLVD STE 104, LAS VEGAS, NV 89103-2283
(775) 570-9050
Mailing address
3835 S JONES BLVD STE 104, LAS VEGAS, NV 89103-2283
(702) 570-9050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
700465
NV
Other
Enumeration date
10/21/2008
Last updated
10/11/2012
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