MRS. KRISTIE L COARASA PA-C NPI 1467641647

NPI Information

NPI: 1467641647
Provider Name: MRS. KRISTIE L COARASA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WILLIAM S MUIR MD LTD

PECOS Registration: Yes

Address:
653 N TOWN CENTER DR STE 210
LAS VEGAS, NV
ZIP 89144
Phone: (702) 254-3020
Get Directions

MRS. Kristie L Coarasa, PA-C is a medical physician assistant in Las Vegas, NV with 18 years of experience. MRS. Kristie L Coarasa, PA-C NPI is 1467641647. 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:

653 N TOWN CENTER DR STE 210
LAS VEGAS, NV
ZIP 89144-516
Phone: (702) 254-3020
Fax: (702) 255-2620

The NPI 1467641647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 11/22/2019.

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	363A00000X	Physician Assistant				No
2	363AS0400X	Physician Assistant	Surgical	PA1148	NEVADA	No
3	363AM0700X	Physician Assistant	Medical	PA1148	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	Other Provider Identifier Issuer
1	BK848Y	OTHER		MEDICARE PTAN

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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