Provider Demographics
NPI:1336428853
Name:KLEINMAN, LAUREL A (APN)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:A
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:A
Other - Last Name:CAPURRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:595 W LAKE MEAD PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7015
Practice Address - Country:US
Practice Address - Phone:702-566-5500
Practice Address - Fax:702-558-7238
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001315363L00000X
NVAPRN001315363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1336428853Medicaid
NVAPRN001315OtherSTATE LICENSE
NVAPN001315OtherAPN LICENSE