Individual
KIMBERLY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
701 SHADOW LANE, LAS VEGAS, NV 89106
(702) 383-2000
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN71166
NV
363LF0000X
Family Nurse Practitioner
Primary
873341
NV
Other
Enumeration date
10/09/2023
Last updated
05/30/2025
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