Provider Demographics
NPI:1396950663
Name:PEOPLES, KATHRYN WINIFRED (RN-FNP)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:WINIFRED
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:RN-FNP
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:WINIFRED
Other - Last Name:PEOPLES-ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-FNP
Mailing Address - Street 1:10539 BROWNSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-3217
Mailing Address - Country:US
Mailing Address - Phone:702-839-0243
Mailing Address - Fax:702-839-1634
Practice Address - Street 1:7599 W LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0274
Practice Address - Country:US
Practice Address - Phone:877-227-3089
Practice Address - Fax:407-316-3001
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000894363LF0000X
IL363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner