KIM GENET MOFFATT-BAZILE

LAS VEGAS, NV
NPI1619003928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  8485)
Additional Taxonomies163WP0200X Registered Nurse, Pediatrics
(Licence: NV  RN80724)
163WP0200X Registered Nurse, Pediatrics
(Licence: NV  APRN001811)
Enumeration Date2007-02-23
Last Update Date2019-05-16
Business Address
KIM GENET MOFFATT-BAZILE PNP
3121 S. MARYLAND PKWY SUITE 220
LAS VEGAS, NV 89109
Phone number: 702-732-1493
Mailing Address
KIM GENET MOFFATT-BAZILE PNP
747 52ND ST HEMO/ONCOLOGY DEPT
OAKLAND, CA 94609-1809
Phone number: 510-428-3372