Karli Kwas , APRN
Nurse Practitioner โข Carson City, NV
119 E Long St
Carson City, NV 897062505
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 29, 2014; this date does not establish years in practice.
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Published CMS data list 845 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- J7329 โ Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg: 750 service units.
- 20611 โ Aspiration and/or injection of fluid large joint using ultrasound guidance: 36 service units.
- 20552 โ Injection of trigger points, 1-2 muscles: 31 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 955 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Trazodone Hcl โ 74 prescription fills, including refills.
- Quetiapine Fumarate โ 65 prescription fills, including refills.
- Aripiprazole โ 62 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 37 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Nurse Practitioner in Carson City, NV (2024, 21 clinicians with data). Median for this group: 688. Middle half: 327 to 1,784.
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Nevada (2024, 455 clinicians with data). Median for this group: 388. Middle half: 89 to 1,559.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 446 in 2018 to 845 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2023.
Practice Location & Contact Primary Location
119 E Long St
Carson City, NV 897062505
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Elko, NV. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Vitality Unlimited. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2013
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
73 people with Original Medicare in 2023
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2023.
Medicare-allowed amount
About $14,288 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $10,571 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
1,850 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$233,762 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $973.35 across 47 records.
By nature of payment
- Food and Beverage: $973.35 across 47 records.
Reporting-company totals (3 largest of 7)
- ABBVIE INC.: $236.76 across 17 records.
- Neurocrine BioSciences, Inc.: $222.11 across 5 records.
- ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.): $155.12 across 8 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Karli Kwas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Karli Kwas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Carson City and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Carson City, NV (2024, 21 clinicians with data). Median for this group: 688. Middle half: 327 to 1,784.
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Nevada (2024, 455 clinicians with data). Median for this group: 388. Middle half: 89 to 1,559.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Carson City, NV (2024, 21 clinicians with data). Median for this group: $60,974. Middle half: $10,569 to $233,762.
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Nevada (2024, 455 clinicians with data). Median for this group: $17,191. Middle half: $1,291 to $129,985.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Karli Kwas are from 2023.
32 active clinicians are listed under Nurse Practitioner with a practice address in Carson City, NV (911 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Carson City
12.5% of these 32 clinicians have the CMS telehealth indicator.
65.6% of these 32 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 89% from 446 in 2018 to 845 in 2023.
- 2018: 446
- 2020: 93
- 2021: 247
- 2022: 1,333
- 2023: 845
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Medicare-allowed amount
Medicare-allowed amount decreased 55% from $31,449 in 2018 to $14,288 in 2023.
- 2018: $31,449
- 2020: $6,967
- 2021: $16,963
- 2022: $24,829
- 2023: $14,288
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Paid by Medicare
Paid by Medicare decreased 60% from $26,263 in 2018 to $10,571 in 2023.
- 2018: $26,263
- 2020: $5,682
- 2021: $13,433
- 2022: $19,371
- 2023: $10,571
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 14 in 2019 to 955 in 2024.
- 2019: 14
- 2020: 33
- 2021: 105
- 2023: 28
- 2024: 955
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30-day fills
30-day fills went from 14 in 2019 to 1,850 in 2024.
- 2019: 14
- 2020: 33
- 2021: 105
- 2023: 55
- 2024: 1,850
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Part D drug cost
Part D drug cost went from $103 in 2019 to $233,762 in 2024.
- 2019: $103
- 2020: $189
- 2021: $454
- 2023: $369
- 2024: $233,762
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $61.41 in 2022 to $973.35 in 2025.
- 2022: $61.41
- 2023: $18.95
- 2024: $849.08
- 2025: $973.35
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 47 records totaling $973.35.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
|
INGREZZA | General | $135.39 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
COBENFY | General | $121.55 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $34.29 |
| Indivior Inc. |
Food and Beverage
In-kind items and services
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SUBLOCADE | General | $32.64 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
|
AUSTEDO XR | General | $27.39 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $26.50 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $25.47 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $25.01 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $24.03 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $22.49 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
|
AUSTEDO XR | General | $22.32 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $22.14 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $21.05 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
|
INGREZZA | General | $20.64 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $19.37 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $18.64 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $18.38 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
ABILIFY ASIMTUFII | General | $18.36 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $18.27 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $18.14 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $17.96 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $17.88 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
ABILIFY MAINTENA | General | $16.59 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
ABILIFY ASIMTUFII | General | $16.52 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
ABILIFY ASIMTUFII | General | $14.53 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J7329
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
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750 | 15 | $16.00 | $9.09 |
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20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
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36 | 19 | $103.99 | $79.38 |
|
20552
Injection of trigger points, 1-2 muscles
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31 | 23 | $57.13 | $45.08 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
16 | 16 | $116.03 | $95.18 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
12 | 12 | $172.47 | $141.03 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Trazodone Hcl | Trazodone Hcl | 74 | 4,366 | $746.73 | 28 |
| Quetiapine Fumarate | Quetiapine Fumarate | 65 | 4,500 | $1,933.74 | 20 |
| Aripiprazole | Aripiprazole | 62 | 3,660 | $8,574.18 | 15 |
| Lamotrigine | Lamotrigine | 44 | 2,431 | $419.66 | 11 |
| Clonazepam | Clonazepam | 40 | 1,252 | $343.29 | 13 |
| Duloxetine Hcl | Duloxetine Hcl | 40 | 2,580 | $831.93 | โ |
| Buspirone Hcl | Buspirone Hcl | 39 | 2,140 | $504.98 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 35 | 2,400 | $280.33 | โ |
| Bupropion Xl | Bupropion Hcl | 32 | 2,220 | $1,776.23 | 14 |
| Invega Sustenna | Paliperidone Palmitate | 31 | 922 | $112,273.05 | โ |
| Sertraline Hcl | Sertraline Hcl | 30 | 1,920 | $384.38 | 12 |
| Risperidone | Risperidone | 29 | 2,100 | $316.03 | 12 |
| Divalproex Sodium | Divalproex Sodium | 28 | 1,770 | $405.24 | โ |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 28 | 1,546 | $446.00 | 13 |
| Bupropion Hcl Sr | Bupropion Hcl | 26 | 1,800 | $540.04 | 12 |
| Lorazepam | Lorazepam | 23 | 690 | $113.52 | โ |
| Alprazolam | Alprazolam | 22 | 640 | $53.42 | โ |
| Doxepin Hcl | Doxepin Hcl | 20 | 1,320 | $501.15 | โ |
| Propranolol Hcl | Propranolol Hcl | 19 | 1,470 | $467.38 | โ |
| Escitalopram Oxalate | Escitalopram Oxalate | 18 | 1,440 | $110.89 | โ |
| Mirtazapine | Mirtazapine | 18 | 900 | $591.38 | โ |
| Benztropine Mesylate | Benztropine Mesylate | 18 | 900 | $274.56 | โ |
| Olanzapine | Olanzapine | 18 | 1,272 | $440.97 | โ |
| Caplyta | Lumateperone Tosylate | 18 | 720 | $38,636.06 | โ |
| Gabapentin | Gabapentin | 17 | 1,230 | $564.16 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-12-12NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20200824001843
NV
2466671201
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Vitality Unlimited
3740 E Idaho St, Elko, NV 898014611
Phone: 7757388004
Secondary Practice Locations
Po Box 2580
Elko, NV 898032580
Phone: 7757778477
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 119 E LONG ST, CARSON CITY, NV 897062505 (Tel: 7754610025)
Registered at PO BOX 2580, ELKO, NV 898032580 (Tel: 7757384158)
Additional practice office at PO Box 2580, Elko, NV 898032580
Recorded as KARLI KWAS, APRN
Nurse Practitioner (license number reported to NPPES: NV 832089)
Nurse Practitioner (license number reported to NPPES: TN 18669)
Nurse Practitioner (license number reported to NPPES: NV 832089)
NPI status registered as active in NPPES database
Registered at 2001 CHARLOTTE AVE STE 205, NASHVILLE, TN 372032032 (Tel: 6158869040)
Registered at 2001 CHARLOTTE AVE STE 205, NASHVILLE, TN 372032032 (Tel: 6158869040)
Recorded as KARLI KWAS
Nurse Practitioner (license number reported to NPPES: TN 18669)
Registered at 330 22ND AVE N, NASHVILLE, TN 372031844 (Tel: 6153200007)
Registered at PO BOX 210127, NASHVILLE, TN 372210127 (Tel: (615) 986-1256)
Nurse Practitioner (license number reported to NPPES: TN 18669)
NPI status registered as active in NPPES database
Registered at 2323 21ST AVE S FL 3, NASHVILLE, TN 372124930 (Tel: 6156736737)
Registered at 73 WHITE BRIDGE RD, #103-243, NASHVILLE, TN 372051444 (Tel: 6156736737)
Recorded as KARLI KWAS
Nurse Practitioner (license number reported to NPPES: TN 18669)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Carson City
- Duane Gilbert, FNP-C
- Kimbrelle Pascua, APRN
- Gladys Dolor, APRN
- Tatsiana Furman, APN
- Erika Graul, APN
- Tiffany Yohey, APRN
Mailing Address
Po Box 2580
Elko, NV 898032580
Phone: 7757384158