Kristie L Coarasa is a Surgical in Las Vegas, Nevada. Kristie L Coarasa practices all healthcare services and medical treatments related to Surgical. 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 |
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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 |
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Provider Enumeration Date | 2007-10-23 |
Last Updated Date | 2019-11-22 |
Provider Mailing Address Detail
Address | 653 N Town Center Dr Ste 210 |
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City | Las Vegas |
State | Nevada (NV) |
Post Code | 891440516 |
Phone Number | 7022543020 |
Fax Number | 7022552620 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA1148 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 Surgical, and it falls under the taxonomy code 363As0400X, 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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