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

MS. Kimberly Anne Moulliet, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1902058977

MS. Kimberly Anne Moulliet, NURSEPRACTITIONER is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2008, 18 years ago. Practices with Marshall Medical Center, a 171-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2008
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Practice location Address checks out

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone: (775) 570-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 700465 (NV)

Record details

NPI number1902058977
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 11, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Marshall Medical Center — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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