Provider Demographics
NPI:1346917770
Name:MCINTURF, KELSEE ANNETTE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KELSEE
Middle Name:ANNETTE
Last Name:MCINTURF
Suffix:
Gender:F
Credentials:DNP, 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 1:9920 W CHEYENNE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7726
Mailing Address - Country:US
Mailing Address - Phone:702-684-7246
Mailing Address - Fax:702-316-2272
Practice Address - Street 1:9920 W CHEYENNE AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7726
Practice Address - Country:US
Practice Address - Phone:702-684-7246
Practice Address - Fax:702-316-2272
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049383363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily