Amy L J King, NP | |
1302 W Craig Rd Ste A, N Las Vegas, NV 89032-0247 | |
(702) 473-8380 | |
(702) 473-8383 |
Full Name | Amy L J King |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1302 W Craig Rd Ste A, N Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083322267 | NPI | - | NPPES |
1083322267 | Medicaid | NV | |
857158 | Other | NV | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 857158 (Nevada) | Secondary |
363LF0000X | Nurse Practitioner - Family | 857158 (Nevada) | Primary |
Entity Name | Intermountain Medical Holdings Nevada Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245997279 PECOS PAC ID: 7416054622 Enrollment ID: O20220214001765 |
Mailing Address | Practice Location Address |
---|---|
Amy L J King, NP 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 Ph: (702) 216-3346 | Amy L J King, NP 1302 W Craig Rd Ste A, N Las Vegas, NV 89032-0247 Ph: (702) 473-8380 |
Elita Pallasigui, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6900 Pecos Rd, N Las Vegas, NV 89086 Phone: 702-791-9000 | |
Aura Cynthia Truelove, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 W Craig Rd Ste A, N Las Vegas, NV 89032 Phone: 702-473-8380 Fax: 702-473-8383 | |
Stephanie Marie Melcher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 W Craig Rd, N Las Vegas, NV 89032 Phone: 702-657-9555 Fax: 702-657-9040 | |
Lydia Phan Torres, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2031 Mcdaniel St Ste 140, N Las Vegas, NV 89030 Phone: 702-633-0207 Fax: 702-633-5099 | |
Sheena Marie M Villaroman, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4040 N Martin L King Blvd Ste A, N Las Vegas, NV 89032 Phone: 702-644-4673 | |
Katrina Dado, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6920 Noah Raven St, N Las Vegas, NV 89084 Phone: 702-470-5128 |