Kimberly Statum, Registed Nurse
Registered Nurse in Las Vegas, NV. Individual provider (NPI-1).
NPI number1548049232
StatusActive
Last updated in NPPESSep 29, 2023
Details
- NPI
- 1548049232
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Statum
- Credential
- Registed Nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2023
- Certification date
- Sep 29, 2023
- Last updated
- Sep 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 818769 | NV | Yes |
Practice location
860 S Rancho Dr Ste 10Las Vegas, NV 89106-3828
Phone 702-268-8555 · Fax 702-272-2541
Mailing address
860 S Rancho Dr Ste 10Las Vegas, NV 89106-3828
Phone 702-268-8555 · Fax 702-272-2541
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