Breanna Kennelly, APRN, FNP-BC
Nurse Practitioner, Family in Henderson, NV. Individual provider (NPI-1).
NPI number1548043169
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1548043169
- Entity type
- Individual (NPI-1)
- Name
- Breanna Kennelly
- Credential
- APRN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 6, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 867031 | NV | Yes |
Practice location
3001 Saint Rose PkwyHenderson, NV 89052-3839
Phone 702-616-5000
Mailing address
1146 Blitzen DrHenderson, NV 89012-4472
Phone 702-465-4348
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All 283 Family Nurse Practitioner providers in Henderson · All 9,892 providers in Henderson
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