Kristen Anne Dorough, RNFA
Individual provider Active NPI Registered Nurse First Assistant · Mammoth Lakes, CA
NPI 1730866922 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1730866922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- RN75615 (NV)
- Practice address
- 85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073 - Phone
- (760) 934-3311
- NPI assigned
- Jun 29, 2023
- 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 |
|---|---|---|---|
| RN75615 | NV | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN75615 | NV | Yes |
Addresses
Primary practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Mailing address
PO Box 9045
Mammoth Lakes, CA 93546-9041
Phone (760) 709-6039
Other providers in Mammoth Lakes, CA
- Karly Marie Dawson
- Deanna S Dean
- Bryan Dennison
- Andrea Marie Dillon
- Sheila Curry Donahue
- Dr Maria M. King Inc
- Gabrielle Duhl
- Iris Duran
- Jacob Andrew Eide
- Kim Escudero
All providers in Mammoth Lakes, CA · Registered Nurse First Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. 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.