KIM MOFFATT-BAZILE, PNP

Nurse Practitioner

Active Individual
NPI: 1619003928

Practice Address

3121 S. MARYLAND PKWY
SUITE 220
Las Vegas, NV 89109

Phone: (702) 732-1493

Specialties

Specialty Code Primary License
Registered Nurse - Pediatrics 163WP0200X No APRN001811 (NV)
Nurse Practitioner 363L00000X Yes 8485 (CA)

Frequently Asked Questions

NPI 1619003928 is the National Provider Identifier for KIM MOFFATT-BAZILE, PNP, a Nurse Practitioner provider located in Las Vegas, NV. This NPI was enumerated on February 23, 2007.
KIM MOFFATT-BAZILE, PNP practices at 3121 S. MARYLAND PKWY, SUITE 220, Las Vegas, NV 89109.

Quick Facts

NPI
1619003928
Type
Individual
Enumerated
Feb 23, 2007
Last Updated
May 16, 2019

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