MEDICARE: OLGA R KALBERMATTER APN

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
1	363LP0200X	Pediatric Nurse Practitioner	APN000625	NV

General Provider Information

NPI Number	:	1861569824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA R KALBERMATTER APN

Provider Business Mailing Address
First Line	:	PO BOX 230367
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89105-0367
Country	:	US
Telephone Number	:	702-732-1493
Fax Number	:	702-732-1080

Provider Business Practice Location Address
First Line	:	1090 E DESERT INN RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2803
Country	:	US
Telephone Number	:	702-732-1493
Fax Number	:	702-732-1080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/09/2007

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Directions to “ OLGA R KALBERMATTER APN” Practice Location

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