Individual
LISA MARIE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1107 US HIGHWAY 395 N, GARDNERVILLE, NV 89410-5304
(775) 782-1500
Mailing address
1722 AZALEA CT, MINDEN, NV 89423-5113
(775) 450-9501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
838549
NV
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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