KATHLEEN MARY REARDON PNP NPI 1245498203

NPI Information

NPI: 1245498203
Provider Name: KATHLEEN MARY REARDON, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3061 S MARYLAND PKWY
#101
LAS VEGAS, NV
ZIP 89109
Phone: (702) 254-5437
Get Directions

Kathleen Mary Reardon, PNP is a pediatrics nurse practitioner in Las Vegas, NV. Kathleen Mary Reardon, PNP NPI is 1245498203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3061 S MARYLAND PKWY
#101
LAS VEGAS, NV
ZIP 89109-298
Phone: (702) 254-5437
Fax: (702) 254-7354

The enumeration date for this NPI number is 5/27/2008 and was last updated on 3/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	MR1646237	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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