Healthcare Provider Details

I. General information

NPI: 1205107000
Provider Name (Legal Business Name): KARIN M SCOTT RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 W HORIZON RIDGE PKWY 100
HENDERSON NV
89012-3494
US

IV. Provider business mailing address

1655 W HORIZON RIDGE PARKWAY 100
HENDERSON NV
89012-3494
US

V. Phone/Fax

Practice location:
  • Phone: 702-914-2790
  • Fax: 702-914-5984
Mailing address:
  • Phone: 702-914-2790
  • Fax: 702-914-5984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRC12069
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: