MEDICARE: CORINNE FLATT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175M00000X	Lay Midwife	NONE	NV

General Provider Information

NPI Number	:	1558575084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE FLATT

Provider Business Mailing Address
First Line	:	1872 COBRA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-1790
Country	:	US
Telephone Number	:	702-643-9433
Fax Number	:	702-870-3883

Provider Business Practice Location Address
First Line	:	1872 COBRA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-1790
Country	:	US
Telephone Number	:	702-643-9433
Fax Number	:	702-870-3883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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Directions to “ CORINNE FLATT ” Practice Location

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