Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mijung Kim, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1912453705

Mijung Kim, NURSEPRACTITIONER is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2016
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Practice location Address checks out

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone: (702) 853-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN002293 (NV)

Record details

NPI number1912453705
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 31, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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