Healthcare Provider Details

I. General information

NPI: 1225398746
Provider Name (Legal Business Name): MS. KAREN ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N RAINBOW BLVD STE 222
LAS VEGAS NV
89107-1189
US

IV. Provider business mailing address

9833 MEANDERING CREEK CT
LAS VEGAS NV
89117-0517
US

V. Phone/Fax

Practice location:
  • Phone: 702-437-2727
  • Fax: 702-437-1584
Mailing address:
  • Phone: 702-437-2727
  • Fax: 702-437-1584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: