Provider Demographics
NPI:1710248505
Name:KEE, ANNETTE (APRN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:KEE
Suffix:
Gender:F
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:
Other - Last Name:KEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN PMHNP-BC
Mailing Address - Street 1:7618 N DECATUR BLVD APT 1063
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-3620
Mailing Address - Country:US
Mailing Address - Phone:702-885-0881
Mailing Address - Fax:
Practice Address - Street 1:1505 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3916
Practice Address - Country:US
Practice Address - Phone:702-885-0881
Practice Address - Fax:844-888-4250
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV830524363LP0808X
PARN539983174400000X
OHAPRN.CNP.022595363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No174400000XOther Service ProvidersSpecialist