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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM GENET MOFFATT-BAZILE, PNP

Active

KIM GENET MOFFATT-BAZILE, PNP is a Nurse Practitioner healthcare provider located in LAS VEGAS, Nevada. NPI 1619003928 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LAS VEGAS, NV

Registration Details

NPI Number
1619003928
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2007 (19.429523239524 yrs)
Last Updated
May 16, 2019
Licenses
RN80724 (NV)
8485 (CA)
APRN001811 (NV)

Practice Information

Address
3121 S. MARYLAND PKWY
SUITE 220
LAS VEGAS, NV, 89109
Browse NV providers · Browse ZIP 89109
Phone
7027321493
Fax
7027321080
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Pediatric Nurse

Other Nurse Practitioner Providers in LAS VEGAS, NV

Name Credential NPI
DEBRA CHARLENE TROTCHIE APN 1669475612
JANICE SPENCE WILMOT APRN 1164412086
ROBERT J LYNN APN 1275516015
PAULA JORDAN APRN 1770563835
DEANNA DUCH APRN 1396715488
PATRICIA CARNEY NP 1023088663
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.