Individual provider · Type 1 NPI
Kim Genet Moffatt-Bazile, PNP
Nurse Practitioner · Las Vegas, NV
Practice location
3121 S. Maryland Pkwy, Suite 220
Las Vegas, NV 89109
Fax (702) 732-1080
Mailing address
747 52nd St, Hemo/oncology Dept
Oakland, CA 94609-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN80724 (NV) |
| Nurse Practitioner Primary | 363L00000X | 8485 (CA) |
| Pediatric Registered Nurse | 163WP0200X | APRN001811 (NV) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1619003928
Kim Genet Moffatt-Bazile, PNP's National Provider Identifier is 1619003928, issued on Feb 23, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on May 16, 2019.