Healthcare Provider Details

I. General information

NPI: 1386206571
Provider Name (Legal Business Name): CHRISTINA ROSATI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA CLARK

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 MALL RING CIR STE 202
HENDERSON NV
89014-6667
US

IV. Provider business mailing address

715 MALL RING CIR STE 202
HENDERSON NV
89014-6667
US

V. Phone/Fax

Practice location:
  • Phone: 702-483-6200
  • Fax: 702-483-6202
Mailing address:
  • Phone: 702-483-6200
  • Fax: 702-483-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number822098
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: