Provider Demographics
NPI:1891854667
Name:KIRKMAN, MAUREEN C (RN)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:C
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4126 TECHNOLOGY WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-2009
Mailing Address - Country:US
Mailing Address - Phone:775-687-7573
Mailing Address - Fax:775-687-7544
Practice Address - Street 1:1665 OLD HOT SPRINGS RD
Practice Address - Street 2:SUITE 150
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0646
Practice Address - Country:US
Practice Address - Phone:775-687-4195
Practice Address - Fax:778-687-5103
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVRN 42963163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse