Provider Demographics
NPI:1467452938
Name:WINDISCH, KIMBERLEY (MSN, APRN)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:
Last Name:WINDISCH
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:MRS
Other - First Name:KIMBERLEY
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2706 QUAIL COVE DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3187
Mailing Address - Country:US
Mailing Address - Phone:775-772-7161
Mailing Address - Fax:
Practice Address - Street 1:6512 S MCCARRAN BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6170
Practice Address - Country:US
Practice Address - Phone:775-788-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN000551363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV37232Medicare ID - Type Unspecified
P17380Medicare UPIN
NV37232Medicare UPIN