NPI 1619004249 · live from the CMS NPI Registry
Susan Kilburn, RN-C, APN
Nurse Practitioner, Obstetrics & Gynecology in Henderson, NV. National Provider Identifier 1619004249, active.
NPI record
| NPI | 1619004249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 520 E Lake Mead Pkwy, Henderson, NV 89015 |
| Practice phone | 702-759-1040 |
| Mailing address | 196 Crown Imperial St, Henderson, NV 89074 |
| Enumerated | February 28, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | APN00169 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.