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NPI Code Detail

MEDICARE: ANNETTE KEE APRN PMHNP-BC

MEDICARE: ANNETTE KEE APRN PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner830524NV

General Provider Information

NPI Number : 1710248505
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE KEE APRN PMHNP-BC
Provider Business Mailing Address
First Line : 6210 N JONES BLVD UNIT 750447
Second Line :
City : LAS VEGAS
State : NV
Zip : 89136-8829
Country : US
Telephone Number : 702-885-0881
Fax Number :
Provider Business Practice Location Address
First Line : 1505 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3916
Country : US
Telephone Number : 702-885-0881
Fax Number : 844-888-4250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2012
Last Update Date : 08/22/2025

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