Provider Demographics
NPI:1316264005
Name:KILLIAN, ZHANNA (NP)
Entity type:Individual
Prefix:MS
First Name:ZHANNA
Middle Name:
Last Name:KILLIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5751 S FORT APACHE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5624
Mailing Address - Country:US
Mailing Address - Phone:702-939-0480
Mailing Address - Fax:702-939-0482
Practice Address - Street 1:5751 S FORT APACHE RD
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-939-0480
Practice Address - Fax:702-939-0482
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN34129363LP0200X
NVAPRN001163363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1699014365OtherGROUP NPI
NV1316264005OtherINDV NPI