Coarasa, Kristie L

Coarasa, Kristie L is an individual health care provider with primary practice located at 653 N Town Center Dr Ste 210 , Las Vegas NV 89144-0516. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Coarasa, Kristie L can be contacted via phone (702) 254-3020.

Contact Information

Primary practice address
653 N Town Center Dr Ste 210 Las Vegas NV 89144-0516
Phone: (702) 254-3020
Fax: (702) 255-2620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1148 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1148 Nevada

Profile Details

NPI number 1467641647
LBN Legal business name Coarasa, Kristie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Nov 22nd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467641647 NPPES
Other BK848Y MEDICARE PTAN

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