Kristie L Coarasa in Las Vegas - Physician Assistant
Kristie L Coarasa - NPI 1467641647
Kristie L Coarasa is a Physician Assistant in Las Vegas, Nevada. Kristie L Coarasa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristie L Coarasa is 1467641647. The last update date is 2019-11-22.
Kristie L Coarasa's current location address is 653 N Town Center Dr Ste 210, Las Vegas, Nevada. You can contact this provider via phone number 7022543020 and fax number 7022552620. The mailing address for Kristie L Coarasa is 653 N Town Center Dr Ste 210, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristie L Coarasa |
|---|---|
| Address | 653 N Town Center Dr Ste 210, Las Vegas, Nevada |
| Phone Number | 7022543020 |
| Fax Number | 7022552620 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1467641647 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2019-11-22 |
Provider Mailing Address Detail
| Address | 653 N Town Center Dr Ste 210 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891440516 |
| Phone Number | 7022543020 |
| Fax Number | 7022552620 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BK848Y | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kristie L Coarasa?
The Kristie L Coarasa has been issued the NPI (National Provider Identifier) 1467641647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kristie L Coarasa?
The Kristie L Coarasa is situated at 653 N Town Center Dr Ste 210, in the city of Las Vegas, state of NV, with the zip code 891440516.
What is Kristie L Coarasa's area of expertise and its corresponding taxonomy classification?
The Kristie L Coarasa's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kristie L Coarasa receive its 1467641647 assignment from the Centers for Medicare & Medicaid Services?
The Kristie L Coarasa was assigned its 1467641647 by the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date were the details related to Kristie L Coarasa most recently updated or revised?
The information pertaining to Kristie L Coarasa, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-22.
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