Provider Demographics
NPI:1891190328
Name:ESSA, KRISTIE (APRN)
Entity type:Individual
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First Name:KRISTIE
Middle Name:
Last Name:ESSA
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:220 MEADOW BROOK DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-2174
Mailing Address - Country:US
Mailing Address - Phone:775-250-5701
Mailing Address - Fax:888-803-3331
Practice Address - Street 1:9550 S EASTERN AVE STE 253
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-8042
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:888-803-3331
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2024-10-14
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN10021099363LF0000X
OR10021099363LF0000X
NVAPRN001841363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily