Provider Demographics
NPI:1710248505
Name:KEE, ANNETTE (APRN PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:KEE
Suffix:
Gender:F
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:
Other - Last Name:KEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN PMHNP-BC
Mailing Address - Street 1:2504 CHATEAU NAPOLEON DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-0379
Mailing Address - Country:US
Mailing Address - Phone:888-920-1070
Mailing Address - Fax:888-920-1074
Practice Address - Street 1:6260 MCLEOD DR STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4445
Practice Address - Country:US
Practice Address - Phone:888-920-1070
Practice Address - Fax:888-920-1074
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV830524363LP0808X
PARN539983174400000X
OHAPRN.CNP.022595363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No174400000XOther Service ProvidersSpecialist