Kendra Jo Poulsen, REGISTERED NURSE
Individual provider Active NPI Community Health Registered Nurse · Ely, NV
NPI 1669949319 · NPPES record last updated Oct 31, 2018
Key facts
- NPI
- 1669949319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN95615 (NV)
- Practice address
- 297 Nevada Northern Rail Way Ste 5
Ely, NV 89301-2807 - Phone
- (775) 293-6558
- Fax
- (775) 289-1561
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95615 | NV | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN95615 | NV | Yes |
Addresses
Primary practice location
297 Nevada Northern Rail Way Ste 5
Ely, NV 89301-2807
Mailing address
HC 10 Box 40
Pioche, NV 89043-9401
Phone (208) 589-2729
Other names
- Kendra Jo Hall
Other providers in Ely, NV
- Angela A Petersen
- Lisa Peterson
- Shannin Pierce
- Kelsey Shawn Pinkham
- Nancy J Plaskett
- David Harris Pratt
- June L. Prather Puckett
- Shannon Marie Rebiejo
- Mark A. Rhodes
- Ridley'S Family Markets, Inc
All providers in Ely, NV · Community Health Registered Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.