Provider Demographics
NPI:1093504672
Name:MCGUINNESS, KRISTEN A (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:A
Last Name:MCGUINNESS
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 BLUE OPAL WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2829
Mailing Address - Country:US
Mailing Address - Phone:973-557-1613
Mailing Address - Fax:
Practice Address - Street 1:4001 BLUE OPAL WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-2829
Practice Address - Country:US
Practice Address - Phone:973-557-1613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV888119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily