MEDICARE: CARA H BEATTY PA-C

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	363AM0700X	Medical Physician Assistant		NV

General Provider Information

NPI Number	:	1588524474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA H BEATTY PA-C

Provider Business Mailing Address
First Line	:	2865 SIENA HEIGHTS DR STE 331
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4171
Country	:	US
Telephone Number	:	702-407-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2865 SIENA HEIGHTS DR STE 3331
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4167
Country	:	US
Telephone Number	:	702-407-0110
Fax Number	:

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

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	01/13/2026

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Directions to “ CARA H BEATTY PA-C” Practice Location

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