Moffatt-Bazile, Kim Genet

Moffatt-Bazile, Kim Genet is an individual health care provider with primary practice located at 3121 S. Maryland Pkwy Suite 220, Las Vegas NV 89109. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moffatt-Bazile, Kim Genet can be contacted via phone (702) 732-1493.

Contact Information

Primary practice address
3121 S. Maryland Pkwy Suite 220 Las Vegas NV 89109
Phone: (702) 732-1493
Fax: (702) 732-1080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN80724 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8485 California
Nursing Service Providers / Pediatrics 163WP0200X APRN001811 Nevada

Profile Details

NPI number 1619003928
LBN Legal business name Moffatt-Bazile, Kim Genet
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated May 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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