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Contact Information

KRISTIE L COARASA, PA-C
653 N TOWN CENTER DR STE 210
LAS VEGAS, NV89144-0516
 Phone: 702-254-3020
 Fax: 702-255-2620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTIE L COARASA · (Female)

NPI # 1467641647
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/23/2007
Last updated 11/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PA1148
  • Other BK848Y MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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