KAREN BROTARLO BURGUILLOS PA NPI 1255304523

NPI Information

NPI: 1255304523
Provider Name: KAREN BROTARLO BURGUILLOS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4100 W FLAMINGO RD STE 2100
LAS VEGAS, NV
ZIP 89103
Phone: (702) 822-5000
Get Directions

Karen Brotarlo Burguillos, PA is a medical physician assistant in Las Vegas, NV. Karen Brotarlo Burguillos, PA NPI is 1255304523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4100 W FLAMINGO RD STE 2100
LAS VEGAS, NV
ZIP 89103-926
Phone: (702) 822-5000
Fax: (702) 822-5001

The enumeration date for this NPI number is 2/8/2006 and was last updated on 1/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA765	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	V105700	MEDICARE UPIN	NEVADA
2	2402212	MEDICAID	NEVADA
3	37191	MEDICARE ID-TYPE UNSPECIFIED	NEVADA
4	P80098	MEDICARE UPIN
5	3102202	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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