Burguillos, Karen Brotarlo
Burguillos, Karen Brotarlo is an individual health care provider with primary practice located at 4100 W Flamingo Rd Ste 2100 , Las Vegas NV 89103-3926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Burguillos, Karen Brotarlo can be contacted via phone (702) 822-5000.Contact Information
Primary practice address
4100 W Flamingo Rd Ste 2100
Las Vegas NV 89103-3926
Phone: (702) 822-5000
Fax: (702) 822-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA765 | Nevada |
Profile Details
| NPI number | 1255304523 |
|---|---|
| LBN Legal business name | Burguillos, Karen Brotarlo |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jan 12th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255304523 | NPPES |
| Nevada | MEDICAID | 3102202 | |
| Nevada | MEDICAID | 2402212 |
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